Mary Louise Panetta
Occupational Therapist - Gerontology
25117 Sw Parkway Ave Ste D
Wilsonville
, Oregon 97070-9697
Mary Louise Panetta
Occupational Therapist - Gerontology
25117 Sw Parkway Ave Ste D
Wilsonville
, Oregon 97070-9697
(831) 359-7818
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Mary Louise Panetta
- 548 Danby Ct
- Petaluma, CA
- Zip : 94954-8508
- Phone : (831) 359-7818
Second Address
- Mary Louise Panetta
- 25117 Sw Parkway Ave Ste D
- Wilsonville, OR
- Zip : 97070-9697
- Phone : (831) 359-7818
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology |
National Provider Identifier
| NPI | 1558763177 |
|---|---|
| Provider Name | Mary Louise Panetta |
| First Address | Petaluma, CA 94954-8508 |
| Second Address | Wilsonville, OR 97070-9697 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2014 |
| Last Update Date | 25/09/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.