Individual
JOEL LEE PETTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1200 N 7TH ST, CHARITON, IA 50049-1210
(641) 774-3000
Mailing address
1200 N 7TH ST, CHARITON, IA 50049-1210
(641) 774-3000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00573
IA
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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