Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE MARIE PETRUSO, OTR
ActiveNICOLE MARIE PETRUSO, OTR is a Pediatric Occupational Therapist healthcare provider located in LA MESA, California. NPI 1629560990 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · LA MESA, CA
Registration Details
- NPI Number
- 1629560990
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 3, 2018 (8.1834133089564 yrs)
- Last Updated
- Nov 15, 2024
- License
-
26623 (CA)
Practice Information
- Address
-
8030 LA MESA BLVD # 416LA MESA, CA, 919420335Browse CA providers · Browse ZIP 91942
- Phone
- 6195679448
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Other Pediatric Occupational Therapist Providers in LA MESA, CA
| Name | Credential | NPI |
|---|---|---|
| BREANNE MAY HAEGER | OT | 1568093755 |
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.