Individual
ALEXIS PETTEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-0209
Mailing address
10715 SUMMERTON DR, RALEIGH, NC 27614-8628
(919) 605-0231
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
12062
NC
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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