Individual
OLIVIA PETRASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 WASHINGTON AVE, PHILADELPHIA, PA 19147-4717
(215) 339-5100
Mailing address
1401 S 31ST ST FL 2, PHILADELPHIA, PA 19146-3506
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA065871
PA
363AM0700X
Medical Physician Assistant
Primary
MA065871
PA
Other
Enumeration date
09/10/2024
Last updated
09/25/2024
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