Individual provider · Type 1 NPI

Tequila Breyonda Petty, OT

Occupational Therapist · Hickory, NC

NPI number 1417723768 Active

Practice location

16 2nd St NW
Hickory, NC 28601-6105

Call (828) 358-0976 Map

Fax (828) 838-1057

Mailing address

PO Box 749
Belmont, NC 28012-0749

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X16408 (NC)

Occupational Therapist: 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 Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1417723768

Tequila Breyonda Petty, OT's National Provider Identifier is 1417723768, issued on Nov 28, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Hickory, NC. The record was last updated on May 30, 2024.