Individual
DR. JACOB M. PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(571) 801-0731
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(571) 801-0731
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P20001
NC
2255A2300X
Athletic Trainer
LAT-3797
NC
Other
Enumeration date
03/28/2016
Last updated
07/01/2025
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