Individual
MR. TIMOTHY PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8700 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3595
(414) 805-8656
Mailing address
5136 N HOLLYWOOD AVE, WHITEFISH BAY, WI 53217-5650
(262) 617-5953
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
11022-24
WI
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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