Individual
MRS. DANIELLE CHRISTINE PETTENGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
325E KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4531
(207) 877-2498
(207) 877-7459
Mailing address
325E KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4531
(207) 877-2498
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1313
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103730000
—
ME
05
—
268050099
—
ME
Enumeration date
01/02/2007
Last updated
08/30/2023
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