Individual
BONNIE PETTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1305 BOILING SPRINGS RD, GREER, SC 29650-4139
(864) 458-7566
Mailing address
12 CELAND ST, GREENVILLE, SC 29607-2014
(864) 275-5107
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5676
SC
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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