Individual
GRACE ANNMARIE PETINAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
899 MOUNTAIN AVE STE 1A, SPRINGFIELD, NJ 07081-3403
(973) 218-6394
Mailing address
9 LOUIS ST, EAST HANOVER, NJ 07936-1315
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01018700
NJ
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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