Individual
MRS. DEBRA MARIE PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
286 E 29TH ST, LOVELAND, CO 80538-2733
(970) 663-3720
(970) 667-7682
Mailing address
1388 SEVEN LAKES DR, LOVELAND, CO 80538-7213
(970) 669-6727
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6209
CO
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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