Search › Ohio › 253Z00000X
Stephanie Pettaway
NPI 1649965120 · on the registry since 2023 · sole proprietor
Practice
- Address
- 4903 Catalina Dr
Toledo, OH 43615 - Phone
- (419) 578-8787
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Also registered as
- 104100000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio