Individual
ELIZABETH PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
15 LIBERTY TRAIL, DELRAN, NJ 08075-0807
(757) 412-7250
(757) 412-7250
Mailing address
15 LIBERTY TRL, DELRAN, NJ 08075-1341
(757) 412-7250
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01598000
NJ
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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