Individual
MRS. CLAIRE NOELLE PETRASIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2 BENEDICT PL STE 1B, CORNWALL MANOR, GREENWICH, CT 06830-5358
(203) 552-5201
Mailing address
92 LANTERN LN, PALMYRA, PA 17078-3831
(717) 832-1064
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC004334L
PA
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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