Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANICE C PETTIGREW, PTA
Active Sole ProprietorSHANICE C PETTIGREW, PTA is a Occupational Therapist healthcare provider located in WYNNE, Arkansas. NPI 1821643362 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · WYNNE, AR
Registration Details
- NPI Number
- 1821643362
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2019 (7.0071414704169 yrs)
- Last Updated
- Aug 1, 2019
- License
-
PTA4462 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
661 HIGHWAY 64BWYNNE, AR, 723968506Browse AR providers · Browse ZIP 72396
- Phone
- 8702387038
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in WYNNE, AR
| Name | Credential | NPI |
|---|---|---|
| MS. JANISE RASBERRY | PTA | 1184778102 |
| KIM CLARK DILLARD | PTA | 1760672695 |
| NANCY DENISE DRACE | PTA | 1336331701 |
| TONYA JOLLEY | PTA | 1538318803 |
| LISA ELLIS | PTA | 1770732711 |
| KATIE REBECCA HORNBEAK | PTA | 1437387909 |
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.