Individual provider · Type 1 NPI

Marcy A. Petrique

Rehabilitation Practitioner · Santa Clarita, CA

NPI number 1245364280 Active

Practice location

21545 Centre Pointe Pkwy
Santa Clarita, CA 91350-2947

Fax (661) 259-9658

Mailing address

4981 Clybourn Ave
North Hollywood, CA 91601-4820

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1245364280

Marcy A. Petrique's National Provider Identifier is 1245364280, issued on Mar 14, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Santa Clarita, CA. The record was last updated on Jul 8, 2007.