Individual
JOVON PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
629 LAVEROCK RD, GLENSIDE, PA 19038-2817
(215) 910-1476
Mailing address
629 LAVEROCK RD, GLENSIDE, PA 19038-2817
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/20/2019
Last updated
04/06/2021
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