NICOLE PETRUSO

SAN DIEGO, CA
NPI1629560990
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  OTA4106)
Enumeration Date2018-06-03
Last Update Date2018-06-03
Business Address
NICOLE PETRUSO COTA/L
7090 MIRATECH DR
SAN DIEGO, CA 92121-3109
Phone number: 858-304-6440
Mailing Address
NICOLE PETRUSO COTA/L
420 8TH ST
CORONADO, CA 92118-2010
Phone number: 619-992-8364