Individual
RAVEN PETRONICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 E 26TH ST, BAYONNE, NJ 07002-4904
(201) 892-0234
Mailing address
103 E 26TH ST, BAYONNE, NJ 07002-4904
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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