Individual
JANELLE R PETRISOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3460 N RIDGE RD STE 80, WICHITA, KS 67205-1223
(316) 202-0340
(316) 202-0341
Mailing address
200 W DOUGLAS AVE STE 1040, WICHITA, KS 67202-3017
(316) 263-0003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1106278
KS
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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