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Individual
MISS JAYME PETRONCHAK
Active
Individual
MISS JAYME PETRONCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024322
NY
225X00000X
Occupational Therapist
46TR00736200
NJ
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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