Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tequila Breyonda Petty, OT

Individual provider Occupational Therapist · NPI 1417723768

Tequila Breyonda Petty, OT is an Occupational Therapist in Hickory, North Carolina. Licensed in North Carolina. Registered with an NPI since 2023.

Licensed in
NC
In the registry since
2023
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

16 2nd St NW
Hickory, NC 28601-6105
Phone: (828) 358-0976
Fax: (828) 838-1057
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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 16408 (NC)

Record details

NPI number1417723768
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedNovember 28, 2023
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing addressPo Box 749, Belmont, NC 28012-0749

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