| NPI | 1184816027 |
|---|---|
| Former Name | KRISTEN MICHELE PETRONIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009332) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 56008106) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2024-01-09 |