Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELE JO PETHERICK, P.T.
ActiveMICHELE JO PETHERICK, P.T. is a Environmental Modification (OT) healthcare provider located in GARDEN CITY, New York. NPI 1457505513 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · GARDEN CITY, NY
Registration Details
- NPI Number
- 1457505513
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 15, 2008 (17.756662662414 yrs)
- Last Updated
- Aug 5, 2009
- Licenses
-
010022-1 (NY)010022-1 (NY)010022-1 (NY)010022-1 (NY)
Practice Information
- Address
-
1300 FRANKLIN AVELL2GARDEN CITY, NY, 115305747Browse NY providers · Browse ZIP 11530
- Phone
- 5166639099
- Fax
- 5166639092
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
- Additional Specialty
- Hand Therapy
- Additional Specialty
- Pediatric Occupational Therapy
- Additional Specialty
- Environmental Modification (OT)
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.