Michael John Petrarca, OTR Valid NPI

Individual provider · Occupational Therapist · Cranston, RI

NPI

1114135365

Type

Individual (Type 1)

Primary specialty

Occupational Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225X00000X

License number

OT00817 (RI)

Sex

Male

Sole proprietor

No

Enumerated

2007-05-20

Last updated

2007-07-08