Individual ProviderDeann PetitgoutSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1550 Clarke Dr, Ms 1757, Dubuque, IA 52001-3117(563) 588-6415(815) 747-9922PECOS EnrollmentBased on the most recent information from CMS, provider Deann Petitgout does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:50 AM.Profile DetailsProvider ID1720107980Provider TypeIndividualFull NamePetitgout, DeannTitleMrs.CredentialLAT, ATCGenderFemaleSole ProprietorNoEnumeration Date3/28/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address1550 Clarke Dr, Ms 1757, Dubuque, IA 52001-3117Phone(563) 588-6415Fax(563) 588-6666Mailing LocationMailing Address609 Sherwood Ave, East Dubuque, IL 61025-1151Phone(815) 747-9922FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2255A2300XPrimaryDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense00226Iowa