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KAREN LEE PETTY

Active

KAREN LEE PETTY is a Occupational Therapy Assistant healthcare provider located in GOODING, Idaho. NPI 1154873248 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · GOODING, ID

Registration Details

NPI Number
1154873248
Provider Type
Individual
Gender
Female
NPI Issued
Oct 25, 2016 (9.7607879640967 yrs)
Last Updated
Oct 25, 2016
License
OTA-1626 (ID)

Practice Information

Address
1220 MONTANA ST
101
GOODING, ID, 833301856
Browse ID providers · Browse ZIP 83330
Phone
2089345601
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in GOODING, ID

Name Credential NPI
HEATHER MANNING COTA/L 1619325933
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.