Individual
COLLEEN MARIE PETRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2940 E BANNER GATEWAY DR STE 200-250, GILBERT, AZ 85234-2168
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-003139
AZ
2251G0304X
Geriatric Physical Therapist
3139
AZ
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/13/2010
Last updated
04/03/2023
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