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1114135365
MICHAEL JOHN PETRARCA
CRANSTON, RI
NPI
1114135365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: RI OT00817)
Enumeration Date
2007-05-20
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL JOHN PETRARCA OTR
111 HOWARD AVE
CRANSTON, RI 02920-3001
Phone number: 401-462-2585
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Mailing Address
Mr. MICHAEL JOHN PETRARCA OTR
81 READ SCHOOL HOUSE RD
COVENTRY, RI 02816-8703
Phone number: 401-397-3166
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