Kiesha E Pettine - St Petersburg, FL

Kiesha E Pettine

Prosthetic/Orthotic Supplier in St Petersburg, Florida

NPI 1316621717

Kiesha E Pettine is a Prosthetic/Orthotic Supplier based in St Petersburg, FL. Kiesha E Pettine practices in St Petersburg, FL. The NPI Number for Kiesha E Pettine is 1316621717 and holds a License No. (Florida).

The current practice location address for Kiesha E Pettine is 7901 4Th St N Ste 15235, St Petersburg, FL and can be reached out via phone at 727-304-4705.

Location: 7901 4Th St N Ste 15235, St Petersburg, FL, 33702-4305

NPI Number

1316621717

Provider Name

Kiesha E Pettine

Credential

Provider Entity Type

Individual

Gender

Female

Address

7901 4Th St N Ste 15235, St Petersburg, FL, 33702-4305

Phone Number

727-304-4705

Fax Number

Provider Enumeration Date

06/14/2023

Last Update Date

03/10/2024

Address

7901 4Th St N Ste 15235

City

St Petersburg

State

Florida

Zip

33702-4305

Phone Number

727-304-4705

Fax Number

Address

7901 4Th St N Ste 15235

City

St Petersburg

State

Florida

Zip

33702-4305

Phone Number

727-304-4705

Fax Number

Type

Suppliers

Classification

Prosthetic/Orthotic Supplier

Speciality

Taxonomy

335E00000X

License No.

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Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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