Individual
MR. JONATHAN PAUL PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
8555 S LEWIS AVE, TULSA, OK 74137-1218
(918) 299-2661
Mailing address
8555 S LEWIS AVE, TULSA, OK 74137-1218
(918) 299-2661
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1835
OK
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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