Individual
MR. MICHAEL JOHN PETRARCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
111 HOWARD AVE, CRANSTON, RI 02920-3001
(401) 462-2585
Mailing address
81 READ SCHOOL HOUSE RD, COVENTRY, RI 02816-8703
(401) 397-3166
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00817
RI
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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