NPI 1013401629

Julie Ann Petrushak

Practitioner Developmentally Disabled Services Day Training Agency Crestview, FL

Practice location

Address: 2876 Lake Silver Rd, Crestview, FL 32536-7161
Phone: (850) 902-7624

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Florida →

Registry record

NPI: 1013401629
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2018
Record last updated: 18 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.