Individual
MR. BRIAN SCOTT PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1550 PORTLAND AVE, ROCHESTER, NY 14621-3010
(585) 727-5895
Mailing address
26 GOLDEN POND TRL, SPENCERPORT, NY 14559-9609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021427-1
NY
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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