Individual
MRS. KELLY B PETRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
69 O ST, SEASIDE PARK, NJ 08752-1440
(732) 266-5113
Mailing address
69 O ST, SEASIDE PARK, NJ 08752-1440
(732) 266-5113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00275500
NJ
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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