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Individual

CHELSEA IRENE PETTIGRASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT/OTR

Contact information

Practice address
8842 STATE ROUTE 90 N, KING FERRY, NY 13081-8717
(315) 364-7570
(315) 364-8016
Mailing address
8842 STATE ROUTE 90 N, KING FERRY, NY 13081-8717
(315) 364-7570
(315) 364-8016

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023742-01
NY

Other

Enumeration date
08/06/2019
Last updated
08/06/2019
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