Individual
JEANA M PETRICKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3920 N UNION BLVD, STE 330, COLORADO SPRINGS, CO 80907-4900
(719) 570-7272
(719) 570-9030
Mailing address
3920 N UNION BLVD, STE 330, COLORADO SPRINGS, CO 80907-4900
(719) 570-7272
(719) 570-9030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL2325
CO
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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