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Individual
TREVOR THOMAS PETTIGREW
Active
Individual
TREVOR THOMAS PETTIGREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
61193
OR
2251X0800X
Orthopedic Physical Therapist
61193
OR
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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