Individual
ANTHONY RAY PETTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 S 4TH ST, IRONTON, OH 45638-1610
(740) 532-3767
(740) 532-3385
Mailing address
1123 NORWAY AVE, HUNTINGTON, WV 25705-2923
(304) 691-3330
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
175T00000X
Peer Specialist
—
WV
Other
Enumeration date
04/22/2022
Last updated
11/30/2022
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