Individual
DR. THERESA M. PETRENCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7721 MILAN AVE, SAINT LOUIS, MO 63130-1249
(920) 257-4601
Mailing address
7721 MILAN AVE, SAINT LOUIS, MO 63130-1249
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2025015891
MO
Other
Enumeration date
11/14/2011
Last updated
10/02/2025
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