Mandisa Pettiford, OTA

NPI #1982908836 in Belton, Missouri

Provider Information

NPI Number
1982908836
Entity Type
Individual
Name
Mandisa Pettiford, OTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
OTA
Enumeration Date
Jan 7, 2011
Last Updated
Oct 25, 2012

Practice Location

Address
17134 BEL RAY PL
City
Belton
ZIP Code
64012-5331
Phone
(816) 318-0436

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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