XHANE ANGELIQUE PETTWAY

GARDENDALE, AL
NPI1568199362
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AL  5522)
Enumeration Date2022-08-02
Last Update Date2022-08-02
Business Address
XHANE ANGELIQUE PETTWAY COTA/L
420 DEAN DR
GARDENDALE, AL 35071-2763
Phone number: 205-631-8709
Mailing Address
XHANE ANGELIQUE PETTWAY COTA/L
6218 SUMMER SIDE CIR
PINSON, AL 35126-4430
Phone number: 205-578-2171