Venita Jill Petti, OT/L

NPI #1982993937 in Pocatello, Idaho

Provider Information

NPI Number: 1982993937
Entity Type: Individual
Name: Venita Jill Petti, OT/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT/L
Enumeration Date: Mar 30, 2011
Last Updated: Jun 21, 2011

Practice Location

Address: 1033 W QUINN RD
City: Pocatello
State: Idaho
ZIP Code: 83202-2425
Phone: (208) 233-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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