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1174898167
JASON PAUL PETRIE
KENMORE, NY
NPI
1174898167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 017267)
Enumeration Date
2012-03-09
Last Update Date
2012-03-09
Business Address
Mr. JASON PAUL PETRIE MS, OTR/L
3767 DELAWARE AVE
KENMORE, NY 14217-1040
Phone number: 716-874-6175
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Mailing Address
Mr. JASON PAUL PETRIE MS, OTR/L
7216 MILESTRIP RD
ORCHARD PARK, NY 14127-1411
Phone number: 716-597-4299
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