| NPI | 1760854012 |
|---|---|
| Former Name | CHRISTINE GLORIA PETROSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NH 1159) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 3662) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |