Individual
MICHELLE PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA OTR/L
Contact information
Practice address
2829 VERNDALE AVE, PEDIATRIC THERAPY DEPARTMENT, ANOKA, MN 55303-1620
(763) 233-7274
Mailing address
2829 VERNDALE AVE, PEDIATRIC THERAPY DEPARTMENT, ANOKA, MN 55303-1620
(763) 233-7274
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105290
MN
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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