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

LISE PETRICONE, PT

Active Sole Proprietor

LISE PETRICONE, PT is a Pediatric Occupational Therapy healthcare provider located in NYACK, New York. NPI 1760635668 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapy · NYACK, NY

Registration Details

NPI Number
1760635668
Provider Type
Individual
Gender
Female
NPI Issued
Oct 23, 2008 (17.825523462807 yrs)
Last Updated
Jul 18, 2011
License
009027-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
21 BURD ST
NYACK, NY, 109603205
Browse NY providers · Browse ZIP 10960
Phone
8453532350
Fax
8453532397
Primary Specialty
Pediatric Occupational Therapy
2251P0200X

Other Pediatric Occupational Therapy Providers in NYACK, NY

Name Credential NPI
MS. KAURIE FIELDS MSPT 1790939486
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.