Individual
MISS ASHLEY LAUREN PETAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6208 MONTROSE RD, ROCKVILLE, MD 20852-4119
(301) 468-9343
(301) 230-2127
Mailing address
6208 MONTROSE RD, ROCKVILLE, MD 20852-4119
(301) 468-9343
(301) 230-2127
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
23818
MD
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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