Individual
MARY LOUISE PANETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT,RN
Contact information
Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(831) 359-7818
Mailing address
548 DANBY CT, PETALUMA, CA 94954-8508
(831) 359-7818
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
—
—
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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