National Provider Identifier
Jason Paul Petrie, MS, OTR/L
Jason Paul Petrie, MS, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.
Profile Overview
- NPI
- 1174898167
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- March 09, 2012
- Last Updated
- March 09, 2012
Practice Location
- 3767 Delaware Ave
- Kenmore, NY 14217-1040
Phone: (716) 874-6175
Mailing Address
- 7216 Milestrip RD
- Orchard Park, NY 14127-1411
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1174898167
- Entity Type
- Individual
- Last Name
- Petrie
- First Name
- Jason
- Middle Name
- Paul
- Name Prefix
- Mr.
- Credential
- MS, OTR/L
- Mailing Street Address
- 7216 Milestrip RD
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1411
- Mailing Country
- US
- Mailing Phone
- (716) 597-4299
- Practice Street Address
- 3767 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1040
- Practice Country
- US
- Practice Phone
- (716) 874-6175
- Enumeration Date
- March 09, 2012
- Last Updated
- March 09, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)