Individual provider · Type 1 NPI

Jayme Petronchak, OTR/L

Occupational Therapist · New York, NY

NPI number 1912539776 Active

Practice location

171 Madison Ave
New York, NY 10016-5110

Call (212) 400-0383 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X46TR00736200 (NJ)
Occupational Therapist Primary 225X00000X024322 (NY)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1912539776

Jayme Petronchak, OTR/L's National Provider Identifier is 1912539776, issued on Feb 10, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in New York, NY. The record was last updated on Feb 10, 2020.