Individual
ROBERT M PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA MT
Contact information
Practice address
4000 ALBEMARLE STREET NW, SUITE 501, WASHINGTON, DC 20016
(202) 966-2033
(202) 966-2034
Mailing address
4000 ALBEMARLE STREET NW, SUITE 501, WASHINGTON, DC 20016
(202) 966-2033
(202) 966-2034
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
2306000602
VA
225700000X
Massage Therapist
Primary
MT231
DC
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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