Individual
MARIA PETRYKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 SUMMIT RD SW, PATASKALA, OH 43062-8879
(740) 973-6413
Mailing address
4320 SUMMIT RD SW, PATASKALA, OH 43062-8879
(740) 973-6413
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103774
—
OH
Enumeration date
06/22/2014
Last updated
06/22/2014
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