Individual
DR. JUSTIN WILLIAM PETROCY
Active
Individual
DR. JUSTIN WILLIAM PETROCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
048006
NY
225100000X
Physical Therapist
112350
IA
225100000X
Physical Therapist
Primary
14962
TN
225100000X
Physical Therapist
CP010420T
VA
225100000X
Physical Therapist
P20569
NC
Other
Enumeration date
01/11/2022
Last updated
03/28/2023
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