Individual provider · Type 1 NPI

Lise Petricone, PT

Pediatric Physical Therapist · Nyack, NY

NPI number 1760635668 Active

Practice location

21 Burd St
Nyack, NY 10960-3205

Call (845) 353-2350 Map

Fax (845) 353-2397

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X009027-1 (NY)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1760635668

Lise Petricone, PT's National Provider Identifier is 1760635668, issued on Oct 23, 2008. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Nyack, NY. The record was last updated on Jul 18, 2011.