Individual
LAURA PETIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
751 ALAMEDA DE LAS PULGAS, BELMONT, CA 94002-1606
(949) 439-4413
Mailing address
751 ALAMEDA DE LAS PULGAS, BELMONT, CA 94002-1606
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
16019
CA
Other
Enumeration date
03/12/2016
Last updated
06/21/2016
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