Jaesen Petretta in Fort Myers - Occupational Therapist
Jaesen Petretta - NPI 1073664173
Jaesen Petretta is a Occupational Therapist in Fort Myers, Florida. Jaesen Petretta practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jaesen Petretta is 1073664173. The last update date is 2007-10-18.
Jaesen Petretta's current location address is 9350 Camelot Dr, Fort Myers, Florida. You can contact this provider via phone number 2398393408. The mailing address for Jaesen Petretta is 9350 Camelot Dr, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaesen Petretta |
|---|---|
| Address | 9350 Camelot Dr, Fort Myers, Florida |
| Phone Number | 2398393408 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTR/L |
NPI Number Detail
| NPI Number | 1073664173 |
|---|---|
| Provider Enumeration Date | 2007-01-15 |
| Last Updated Date | 2007-10-18 |
Provider Mailing Address Detail
| Address | 9350 Camelot Dr |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339197980 |
| Phone Number | 2398393408 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT 10199 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Post Comment/ Review Below
What is the Jaesen Petretta's unique identification number?
The Jaesen Petretta has been assigned the NPI (National Provider Identifier) Number 1073664173 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jaesen Petretta is located?
The Jaesen Petretta is situated at the following address: 9350 Camelot Dr, Fort Myers, FL, 339197980.
What is Jaesen Petretta's area of expertise and its corresponding taxonomy classification?
The Jaesen Petretta's field of specialization is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073664173 to Jaesen Petretta?
The Centers for Medicare & Medicaid Services originally issued the 1073664173 to Jaesen Petretta on 2007-01-15.
When was the Jaesen Petretta's information last updated?
The Jaesen Petretta's information was last updated on 2007-10-18.