Individual
GALEN WAYNE PETTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
2600 NEWBURG RD, FORTUNA, CA 95540-2536
(707) 725-6995
(707) 725-9152
Mailing address
2306 DEAN ST, EUREKA, CA 95501-3209
(707) 443-8354
(707) 443-8628
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 22807
CA
Other
Enumeration date
07/04/2006
Last updated
04/26/2013
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