Individual
AMANDA PETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
12060 BROOKSTON DR, CINCINNATI, OH 45240-1308
(513) 363-5317
(513) 363-5354
Mailing address
12060 BROOKSTON DR, CINCINNATI, OH 45240-1308
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
01438
OH
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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