Individual
JEREMY PETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2020 N COUNTRY CLUB DR, MONTGOMERY, AL 36106-1614
(417) 861-3860
Mailing address
3820 BOOTH ST APT 11, KANSAS CITY, KS 66103-2847
(417) 861-3860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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