Individual
NICOLE PETRUZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7937 EARLDALE CT, LEWIS CENTER, OH 43035-8102
(614) 325-5116
Mailing address
7937 EARLDALE CT, LEWIS CENTER, OH 43035-8102
(614) 325-5116
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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