Individual
MARIAN PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOLISTIC
Contact information
Practice address
1023 W FORT WILLIAMS ST, SYLACAUGA, AL 35150-2301
(256) 487-6072
(309) 863-5828
Mailing address
1023 W FORT WILLIAMS ST, SYLACAUGA, AL 35150-2301
(256) 487-6072
(309) 863-5828
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
AL
174400000X
Specialist
—
—
2251H1200X
Hand Physical Therapist
—
AL
251G00000X
Community Based Hospice Care Agency
—
AL
261QH0100X
Health Service Clinic/Center
—
AL
374K00000X
Religious Nonmedical Practitioner
Primary
—
AL
Other
Enumeration date
05/04/2022
Last updated
05/26/2022
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