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Organization

GREGORY R. PETROSKY

Active
Other names
Ridgway Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY REGIS PETROSKY PT (OWNER)
(814) 772-7848
Entity
Organization

Contact information

Practice address
1 SOUTH ST, RIDGWAY, PA 15853-1817
(814) 772-7848
(814) 772-7849
Mailing address
1 SOUTH ST, RIDGWAY, PA 15853-1817
(814) 772-7848
(814) 772-7849

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007531L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15435100004
MEDICAL ASSISTANCE
PA
01
279823
HIGHMARK
PA
Enumeration date
08/19/2006
Last updated
06/11/2008
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