Individual
KYLE JOHN PETRUZELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
898 HAMPTON RD, MCDONOUGH, GA 30253-6514
(678) 583-9954
(678) 583-8709
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014457
GA
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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