JOHNSLYNN PETTIFORD
Developmental Therapist
Active
Individual
NPI: 1174369185
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes | - |
Frequently Asked Questions
NPI 1174369185 is the National Provider Identifier for JOHNSLYNN PETTIFORD, a Developmental Therapist provider located in Indianapolis, IN. This NPI was enumerated on July 8, 2024.
JOHNSLYNN PETTIFORD practices at 7701 E 21ST ST, Indianapolis, IN 46219.
Quick Facts
- NPI
- 1174369185
- Type
- Individual
- Enumerated
- Jul 8, 2024
- Last Updated
- Jul 8, 2024
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