Individual
ERIC PETTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 TOM HUNTER RD, CHARLOTTE, NC 28213-5511
(704) 598-5136
Mailing address
9812 AVENTIDE LN, CHARLOTTE, NC 28215-6099
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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