Petherick, Michele Jo
Petherick, Michele Jo is an individual health care provider with primary practice located at 1300 Franklin Ave Ll2, Garden City NY 11530-5747. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is her primary health care specialty. Petherick, Michele Jo can be contacted via phone (516) 663-9099.Contact Information
Primary practice address
1300 Franklin Ave Ll2
Garden City NY 11530-5747
Phone: (516) 663-9099
Fax: (516) 663-9092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 010022-1 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | 010022-1 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 010022-1 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 010022-1 | New York |
Profile Details
| NPI number | 1457505513 |
|---|---|
| LBN Legal business name | Petherick, Michele Jo |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2008 |
| Last updated | Aug 5th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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