Provider Demographics
NPI:1427695006
Name:PETROSINO, CLAIRE (PT)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:PETROSINO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:
Other - Last Name:SARGENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:91 COLUMBUS ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-3121
Mailing Address - Country:US
Mailing Address - Phone:315-515-3117
Mailing Address - Fax:
Practice Address - Street 1:91 COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-3121
Practice Address - Country:US
Practice Address - Phone:315-515-3117
Practice Address - Fax:315-515-3121
Is Sole Proprietor?:No
Enumeration Date:2019-12-03
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist