Individual
ROSEMARIE PETRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
247 WILSON PL, WYCKOFF, NJ 07481-2613
(201) 543-9063
Mailing address
247 WILSON PL, WYCKOFF, NJ 07481-2613
(201) 543-9063
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00479200
NJ
225XP0019X
Physical Rehabilitation Occupational Therapist
46TR00479200
NJ
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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