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Individual
MR. STEPHEN PETROSKY
Active
Individual
MR. STEPHEN PETROSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208921
VA
225100000X
Physical Therapist
7363
SC
225100000X
Physical Therapist
PT023059
PA
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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