Individual
MRS. CYNTHIA M PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
333 GREEN END AVE, MIDDLETOWN, RI 02842-5620
(508) 728-9879
Mailing address
1065 SPENCER ST, FALL RIVER, MA 02721-4544
(508) 678-6245
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1967
MA
224Z00000X
Occupational Therapy Assistant
OTA00109
RI
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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