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Individual

CORA PETRINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5871 HARBOUR VIEW BLVD, SUFFOLK, VA 23435-3669
(757) 512-7570
Mailing address
107 OLD CART RD, HADDAM, CT 06438-1271
(860) 331-3129

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119-009650
VA
225X00000X
Occupational Therapist
Primary
5656
CT

Other

Enumeration date
08/18/2022
Last updated
08/03/2023
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