Individual
MR. YOURI PETCHERKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20528 BOLAND FARM RD STE 211, GERMANTOWN, MD 20876-4038
(301) 916-0164
Mailing address
11409 CAM CT, KENSINGTON, MD 20895-1313
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3465
MD
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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