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Individual

VICTOR RUSSELL PETTY III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3762 SW STONYBROOK DR, TOPEKA, KS 66610-1300
(785) 224-5788
Mailing address
3762 SW STONYBROOK DR, TOPEKA, KS 66610-1300

Taxonomy

Speciality
Code
Description
License number
State
224ZR0403X
Driving and Community Mobility Occupational Therapy Assistant
Primary

Other

Enumeration date
05/19/2026
Last updated
05/19/2026
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