Karen Lee Petty

NPI #1154873248 in Gooding, Idaho

Provider Information

NPI Number
1154873248
Entity Type
Individual
Name
Karen Lee Petty
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Oct 25, 2016
Last Updated
Oct 25, 2016

Practice Location

Address
1220 MONTANA ST
Address 2
101
State
Idaho
ZIP Code
83330-1856
Phone
(208) 934-5601

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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