Individual
KELLY JO PETSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6889 S EASTERN AVE, LAS VEGAS, NV 89119-4687
(702) 434-1200
Mailing address
2116 BETTY DAVIS ST, LAS VEGAS, NV 89142-4703
(702) 265-2268
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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