Most Relevant Information
Provider Data
| NPI Number: | 1003577016 |
| Provider Name: | GRACE ANNMARIE PETINAKIS MS, OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 46TR01018700 |
Most Important Dates
| Enumeration Date: | 01/03/2022 |
| Last Updated: | 01/03/2022 |
Provider Practice Location
899 MOUNTAIN AVE STE 1A
SPRINGFIELD
NJ
070813403
Practice Location Phone/Fax
| Phone: | 9732186394 |
| Fax: |
Provider Mailing Location
9 LOUIS ST
EAST HANOVER
NJ
079361315
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |