Individual
MRS. HEIDI BERNICE PETTYJOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
155 HI VIEW DR, KNOXVILLE, IA 50138-8778
(641) 891-4688
Mailing address
155 HI VIEW DR, KNOXVILLE, IA 50138-8778
(641) 891-4688
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
080116
IA
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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