LISE PETRICONE

NYACK, NY
NPI1760635668
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: NY  009027-1)
Enumeration Date2008-10-23
Last Update Date2011-07-18
Business Address
-- LISE PETRICONE PT
21 BURD ST
NYACK, NY 10960-3205
Phone number: 845-353-2350
Mailing Address
-- LISE PETRICONE PT
21 BURD ST
NYACK, NY 10960-3205
Phone number: 845-353-2350