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Individual

TERESSA MARIE PETOSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
10TH MEDICAL GROUP, 4102 PINION DRIVE, US AIR FORCE ACADEMY, CO 80840
(719) 333-5055
Mailing address
3150 RED HILL RD, TALLASSEE, AL 36078-3378
(803) 508-3114

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT011187
GA
2251X0800X
Orthopedic Physical Therapist
PT023554
PA
2251X0800X
Orthopedic Physical Therapist
Primary
PTH11146
AL

Other

Enumeration date
08/25/2013
Last updated
06/28/2024
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