MRS. Mary Petitt, OTL

NPI #1093241192 in Owingsville, Kentucky

Provider Information

NPI Number: 1093241192
Entity Type: Individual
Name: MRS. Mary Petitt, OTL
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTL
Enumeration Date: May 10, 2017
Last Updated: Aug 30, 2017

Practice Location

Address: 406 WYOMING RD
City: Owingsville
State: Kentucky
ZIP Code: 40360-8906
Phone: (606) 674-6613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Gerontology — Gerontology	225XG0600X
Occupational Therapist	225X00000X	Primary

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