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Individual
MRS. OLIVIA PETROSKY
Active
Individual
MRS. OLIVIA PETROSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006390
VA
225X00000X
Occupational Therapist
4483
SC
225X00000X
Occupational Therapist
OC013390
PA
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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