Individual
MR. WILLIAM PERRY PETITPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(508) 742-4401
Mailing address
635 WINTER ST, EAST BRIDGEWATER, MA 02333-1047
(774) 223-9682
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/10/2020
Last updated
05/10/2020
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