Individual
MRS. JANETTE PETROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
22 EAGLE RD, DANBURY, CT 06810-4129
(203) 778-8326
(203) 778-8326
Mailing address
20 MEADOW DR, BROOKFIELD, CT 06804-3521
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001479
CT
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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