Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER M. PETRUSIC, MS, ATC, PTA
ActivePETER M. PETRUSIC, MS, ATC, PTA is a Occupational Therapist healthcare provider located in IRMO, South Carolina. NPI 1265929285 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · IRMO, SC
Registration Details
- NPI Number
- 1265929285
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2018 (8.3297647790109 yrs)
- Last Updated
- Apr 16, 2018
- Licenses
-
2403 (SC)3954 (SC)
Practice Information
- Address
-
7467 SAINT ANDREWS RD STE 9IRMO, SC, 290632876Browse SC providers · Browse ZIP 29063
- Phone
- 8037495031
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in IRMO, SC
| Name | Credential | NPI |
|---|---|---|
| MRS. HEIDI E HERMAN | P.T. | 1811900533 |
| IAN MATTHEW FISH | PTA | 1699892471 |
| TAMARILLE DUNCAN | PTA | 1336565183 |
| MR. STEVEN DENTON | PTA | 1235675935 |
| MRS. DARCIE M. MOORE | PTA | 1265969968 |
| DEBORAH FRIDAY | — | 1205364130 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.