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Individual

MR. ERNEST E, PETITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPTA

Contact information

Practice address
730 1ST TER, LANSING, KS 66043-1704
(913) 727-1755
Mailing address
16536 HILDEBRANDT RD, LEAVENWORTH, KS 66048-8465
(913) 758-1881

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01353
KS

Other

Enumeration date
05/14/2007
Last updated
07/08/2007
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