Basic Information
| Provider Information | |||||||||
| NPI: | 1861474512 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PETRUNIK | ||||||||
| FirstName: | JOANNE | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | OT CHT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1259 ROUTE 46 | ||||||||
| Address2: | BUILDING #3 | ||||||||
| City: | PARSIPPANY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070544909 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9733344321 | ||||||||
| FaxNumber: | 9733341095 | ||||||||
| Practice Location | |||||||||
| Address1: | 111 MADISON AVE STE 303 | ||||||||
| Address2: | |||||||||
| City: | MORRISTOWN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079607359 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9732670991 | ||||||||
| FaxNumber: | 9732670930 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/17/2005 | ||||||||
| LastUpdateDate: | 06/29/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225XH1200X | 46TR00297400 | NJ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand |
No ID Information.