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Individual
MR. STANLEY T PETRICK
Active
Individual
MR. STANLEY T PETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011725L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1230503
FIRST HEALTH
—
01
—
230232
HEALTH AMERICA
—
01
—
50038360
CAPITAL BLUE CROSS
PA
01
—
820635
FIRST PRIORITY
PA
01
—
P00199564
RAILROAD MEDICARE
—
01
—
PE176517
BLUE SHIELD
PA
Enumeration date
04/25/2006
Last updated
04/22/2025
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