Most Relevant Information
Provider Data
NPI Number: | 1003066622 |
Provider Name: | JEANETTE JAY PETRO |
Entity Type: | Individual |
Taxonomy Code: | 225X00000X |
Specialty: | Occupational Therapist |
License Number: |
Most Important Dates
Enumeration Date: | 09/19/2008 |
Last Updated: | 07/17/2015 |
Provider Practice Location
70 NORMANDY DR
PAINESVILLE
OH
440771616
Practice Location Phone/Fax
Phone: | 4403571311 |
Fax: |
Provider Mailing Location
70 NORMANDY DR
PAINESVILLE
OH
440771616
Provider Mailing Phone/Fax
Phone: | |
Fax: |