Individual
JEFFREY M PETRIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
25229 S SUN LAKES BLVD, 119, SUN LAKES, AZ 85248-6453
(480) 883-6734
(480) 895-8143
Mailing address
25229 S SUN LAKES BLVD, 119, SUN LAKES, AZ 85248-6453
(480) 883-6734
(480) 895-8143
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1491
AZ
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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