Individual
MRS. JILL K PETRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 E VINE ST, MURFREESBORO, TN 37130-3734
(888) 508-6778
Mailing address
2024 ARCHWAY DR, WENTZVILLE, MO 63385-2661
(636) 346-7501
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2005017813
MO
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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