Individual
MRS. GAIL MARIE PETRJCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 BOLANDER AVE, SPRING HILL, FL 34609-5913
(352) 688-0409
Mailing address
1140 BOLANDER AVE, SPRING HILL, FL 34609-5913
(352) 688-0409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA522
FL
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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