Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaesen Petretta, OTR/L

Individual provider Occupational Therapist · NPI 1073664173

Jaesen Petretta, OTR/L is an Occupational Therapist in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

9350 Camelot Dr
Fort Myers, FL 33919-7980
Phone: (239) 839-3408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT 10199 (FL)

Record details

NPI number1073664173
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJanuary 15, 2007
Last updated in NPPESOctober 18, 2007

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