Individual
LASHONDA PETRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
39180 FARWELL DR STE 211, FREMONT, CA 94538-1015
(510) 857-1000
Mailing address
4046A TRIPOLI DR, ALAMEDA, CA 94501-8015
(817) 823-2229
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT13278
CA
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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