Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Dominick Petaccio Jr., OTR/L

Individual provider Occupational Therapist · NPI 1578113106

Mr. Dominick Petaccio Jr., OTR/L is an Occupational Therapist in Cherry Hill, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2019
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1920 Frontage Rd Apt 1603
Cherry Hill, NJ 08034-2224
Phone: (856) 562-3393
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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 46TR00750100 (NJ)

Record details

NPI number1578113106
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedSeptember 16, 2019
Last updated in NPPESSeptember 16, 2019

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