Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DOMINICK PETACCIO JR., OTR/L
Active Sole ProprietorMR. DOMINICK PETACCIO JR., OTR/L is a Occupational Therapist healthcare provider located in CHERRY HILL, New Jersey. NPI 1578113106 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · CHERRY HILL, NJ
Registration Details
- NPI Number
- 1578113106
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2019 (6.9270114540483 yrs)
- Last Updated
- Sep 16, 2019
- License
-
46TR00750100 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1920 FRONTAGE RD APT 1603CHERRY HILL, NJ, 080342224Browse NJ providers · Browse ZIP 08034
- Phone
- 8565623393
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in CHERRY HILL, NJ
| Name | Credential | NPI |
|---|---|---|
| DONNA LYNNE JACKSON | OT | 1841299781 |
| MRS. SHERYL ANN WELSH | OT | 1326018599 |
| CHRISTY M BEDFORD | MOTR/L | 1902860117 |
| KATHLEEN DESTEFANO | OTR | 1588628556 |
| JENNIFER LYNN FORD | MS OTR/L | 1104852003 |
| LYNDALL GAYLE DEGRUCHY | OTR/L | 1912938945 |
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.