Individual
NYKIA PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8848 RED OAK BLVD STE AA, CHARLOTTE, NC 28217-5595
(980) 422-5887
Mailing address
8848 RED OAK BLVD STE AA, CHARLOTTE, NC 28217-5595
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13285
NC
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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