Individual
RYAN PETROSSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
11959 NICHOLSON DR APT 17304, BATON ROUGE, LA 70810-7626
(225) 578-9244
Mailing address
11959 NICHOLSON DR APT 17304, BATON ROUGE, LA 70810-7626
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.312914
LA
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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