Individual
MRS. GRACE PETRONELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
400 W CUMMINGS PARK, SUITE 3950, WOBURN, MA 01801-6519
(800) 451-9101
(781) 933-2828
Mailing address
22 VOSHAGE RD, PINE BUSH, NY 12566-5220
(845) 784-2996
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006199-1
NY
Other
Enumeration date
05/09/2007
Last updated
08/23/2019
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