Individual
MS. DORIS ANN PETTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
121 EXECUTIVE DR, SUITE 100, NEW WINDSOR, NY 12553-5543
(914) 809-4788
Mailing address
217 FREIDA ST, MONTGOMERY, NY 12549-1712
(845) 457-9039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003893-1
NY
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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