NPI 1861214173

Raven Petronick

Practitioner Physical Therapy Assistant Bayonne, NJ

Practice location

Address: 103 E 26th St, Bayonne, NJ 07002-4904
Phone: (201) 892-0234

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

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Registry record

NPI: 1861214173
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Oct 2024
Record last updated: 28 Oct 2024

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.