Individual
DAVID JAY PETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25700 CEDAR RIVER CT, SUN CITY, CA 92585-8973
(951) 764-2327
Mailing address
25700 CEDAR RIVER CT, SUN CITY, CA 92585-8973
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6691
CA
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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