Individual
MRS. DEBORAH M. PETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9405 HIGHWAY 17 BYP, ATTN: PHS-SC NHC GARDEN CITY, MURRELLS INLET, SC 29576-9301
(843) 650-2213
Mailing address
9405 HIGHWAY 17 BYP, ATTN: PHS-SC NHC GARDEN CITY, MURRELLS INLET, SC 29576-9301
(843) 650-2213
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2766
SC
Other
Enumeration date
06/25/2007
Last updated
09/30/2016
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