Individual
MICHELE PETRAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
120 KISCO AVE, MOUNT KISCO, NY 10549-1415
(914) 242-8720
(914) 242-8762
Mailing address
74 MAPLES RD, MIDDLETOWN, NY 10940-6724
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006664
NY
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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