Individual
CASEY LAUREN PETEFISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3935 SUNNYSIDE DR, HARRISONBURG, VA 22801-2328
(540) 568-8311
Mailing address
3935 SUNNYSIDE DR, HARRISONBURG, VA 22801-2328
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001076
VA
Other
Enumeration date
01/10/2013
Last updated
01/16/2013
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