Individual
ELLEN ELYSE PETRONIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5 SAINT FRANCIS WAY, CRANBERRY TWP, PA 16066-5119
(724) 772-5350
Mailing address
5 SAINT FRANCIS WAY, CRANBERRY TWP, PA 16066-5119
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC012531
PA
Other
Enumeration date
09/20/2012
Last updated
05/10/2018
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