Individual
MRS. ANDREA C PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
415 JEFFERSON ST N, WADENA, MN 56482-1264
(218) 631-7475
(218) 632-8765
Mailing address
10327 CHEROKEE ST, WADENA, MN 56482-2055
(218) 329-2915
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1381
MN
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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