NPI 1669210357
Tess E Pettis
Practice location
- Address
- 66 Otter Run Rd, Fairmont, WV 26554-6196
- Phone
- (304) 550-0248
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1669210357
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Jul 2024
- Record last updated
- 17 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.