Individual
VICKIE LYNN PETRIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11800 W 49TH AVE, WHEAT RIDGE, CO 80033-2176
(719) 463-1382
Mailing address
11800 W 49TH AVE, WHEAT RIDGE, CO 80033-2176
(719) 463-1382
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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