Individual
SARAH BETHANY PETRISIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, ATC, NCMT
Contact information
Practice address
7473 EISENHOWER ST, VENTURA, CA 93003-2485
(315) 591-1166
Mailing address
7473 EISENHOWER ST, VENTURA, CA 93003-2485
(315) 591-1166
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000935
VA
225700000X
Massage Therapist
0019007248
VA
225700000X
Massage Therapist
70569
CA
Other
Enumeration date
01/11/2013
Last updated
08/30/2016
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