Raven Petronick
Raven Petronick is a Physical Therapy Assistant in Bayonne, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
103 E 26th StBayonne, NJ 07002-4904
Phone: (201) 892-0234
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Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X |
|---|
Record details
| NPI number | 1861214173 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 28, 2024 |
| Last updated in NPPES | October 28, 2024 |
| Certification date | October 28, 2024 |
| Mailing address | 103 E 26th St, Bayonne, NJ 07002-4904 |
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