Individual
DANIELLE PETREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5514 STATE ROUTE 350, CLARKSVILLE, OH 45113-9423
(937) 218-2012
Mailing address
5514 STATE ROUTE 350, CLARKSVILLE, OH 45113-9423
(937) 218-2012
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
12/05/2024
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