Petaccia, Christine
Petaccia, Christine is an individual health care provider with primary practice located at 137 S Courtenay Pkwy Apt 1379 , Merritt Island FL 32952-4843. 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. Petaccia, Christine can be contacted via phone (321) 298-7025.Contact Information
Primary practice address
137 S Courtenay Pkwy Apt 1379
Merritt Island FL 32952-4843
Phone: (321) 298-7025
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 46TR00306500 | New Jersey |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT14854 | Florida |
Profile Details
| NPI number | 1821599325 |
|---|---|
| LBN Legal business name | Petaccia, Christine |
| Credentials | MS OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2018 |
| Last updated | Nov 11th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821599325 | NPPES |
| Florida | Other | M8066 | FL HF MEDICARE |
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