Individual
ANDREA PETRUCZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-3618
Mailing address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-3618
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P81869
NY
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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