Individual
MRS. CATHY LESLIE PETWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., OTR
Contact information
Practice address
710 DENBIGH BLVD STE 2C, NEWPORT NEWS, VA 23608-4427
(757) 988-0019
(757) 988-0038
Mailing address
3 PINE LAKE CT, HAMPTON, VA 23669-1200
(757) 851-7989
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000686
VA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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