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Lise Petricone, PT
Pediatric Physical Therapist in Nyack, New York
NPI 1760635668

Lise Petricone is a Pediatric Physical Therapist based in Nyack, NY and is specialized in Pediatrics. Lise Petricone practices in Nyack, NY and has the professional credentials of PT. The NPI Number for Lise Petricone is 1760635668 and holds a License No. 009027-1 (New York).

The current practice location address for Lise Petricone is 21 Burd St, Nyack, NY and can be reached out via phone at 845-353-2350 and via fax at 845-353-2397.

Location: 21 Burd St, Nyack, NY, 10960-3205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760635668
Provider Name
Lise Petricone
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
21 Burd St, Nyack, NY, 10960-3205
Phone Number
845-353-2350
Fax Number
845-353-2397
Provider Enumeration Date
10/23/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21 Burd St
City
Nyack
State
New York
Zip
10960-3205
Phone Number
845-353-2350
Fax Number
845-353-2397
person
Provider Business Mailing Address Details
Address
21 Burd St
City
Nyack
State
New York
Zip
10960-3205
Phone Number
845-353-2350
Fax Number
845-353-2397
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
009027-1 (New York)
Definition
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 therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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