Individual
ARLENE RUTH PETKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2238 BEL AIRE LN, POLAND, OH 44514-1701
(330) 423-9554
Mailing address
2238 BEL AIRE LN, POLAND, OH 44514-1701
(330) 423-9554
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
OH
Other
Enumeration date
01/02/2021
Last updated
01/02/2021
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