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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE MARIE PETRUSO, OTR

Active

NICOLE 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 # 416
LA MESA, CA, 919420335
Browse 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.