Raven Petronick
NPI #1861214173 in Bayonne, New Jersey
Provider Information
- NPI Number
- 1861214173
- Entity Type
- Individual
- Name
- Raven Petronick
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Oct 28, 2024
- Last Updated
- Oct 28, 2024
Practice Location
- Address
- 103 E 26TH ST
- City
- Bayonne
- State
- New Jersey
- ZIP Code
- 07002-4904
- Phone
- (201) 892-0234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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