Bassora-Petaros, Marcella J

Bassora-Petaros, Marcella J is an individual health care provider with primary practice located at 304 South Van Dien Ave. , Ridgewood NJ 07450. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bassora-Petaros, Marcella J can be contacted via phone (201) 445-8200.

Contact Information

Primary practice address
304 South Van Dien Ave. Ridgewood NJ 07450
Phone: (201) 445-8200
Fax: (201) 445-9535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 46TR00290600 New Jersey

Profile Details

NPI number 1912128406
LBN Legal business name Bassora-Petaros, Marcella J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers