Individual
ANNEMARIE PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
35 REFERENDUM DR NE, BOLIVIA, NC 28422-7578
(910) 406-5100
Mailing address
4363 HARBORTOWN CIR SE, SOUTHPORT, NC 28461-8324
(609) 220-9940
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15911
NC
225XP0200X
Pediatric Occupational Therapist
Primary
—
NJ
Other
Enumeration date
09/25/2009
Last updated
03/31/2026
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