Individual
MR. TRAVIS ELIJAH PETRUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
937 PARK AVE, MEADVILLE, PA 16335-3334
(814) 724-6211
(814) 337-0188
Mailing address
937 PARK AVE, MEADVILLE, PA 16335-3334
(814) 724-6211
(814) 337-0188
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
F03451
PA
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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