Elder Berry Petilla
Elder Berry Petilla is an Occupational Therapist in New York, New York. Licensed in New York. Registered with an NPI since 2010.
- Licensed in
- NY
- In the registry since
- 2010
Practice location Address checks out
4951 Chambers Street 6th FlNew York, NY 10007 Not confirmed with CMS for 16 years — call before visiting
Phone: (917) 286-5305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 014851 (NY) |
|---|
Record details
| NPI number | 1336450865 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 30, 2010 |
| Last updated in NPPES | June 30, 2010 |
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