Organization
CARL PETITTO OT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL A PETITTO OT (OWNER)
(315) 782-0440
Entity
Organization
Contact information
Practice address
21101 STATE ROUTE 12F, SUITE 5, WATERTOWN, NY 13601-1078
(315) 782-0440
(315) 782-5349
Mailing address
21101 STATE ROUTE 12F, SUITE 5, WATERTOWN, NY 13601-1078
(315) 782-0440
(315) 782-5349
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010700
NY
Other
Enumeration date
04/30/2014
Last updated
09/29/2014
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