Petito, Cynthia Jean

Petito, Cynthia Jean is an individual health care provider with primary practice located at 1409 Kingsley Ave Suite 3A, Orange Park FL 32073-4537. 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. Petito, Cynthia Jean can be contacted via phone (904) 315-7070.

Contact Information

Primary practice address
1409 Kingsley Ave Suite 3A Orange Park FL 32073-4537
Phone: (904) 315-7070
Fax: (904) 541-1413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT6298 Florida

Profile Details

NPI number 1821071713
LBN Legal business name Petito, Cynthia Jean
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Mar 3rd, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821071713 NPPES
Florida Other U6121Z MEDICARE GROUP PTAN - OT

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