Individual
COLLEEN MARIE PETRAS
Active
Individual
COLLEEN MARIE PETRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
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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