Individual
JOE PETREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
200 W 8TH ST, CISCO, TX 76437-3023
(254) 631-7503
Mailing address
200 W 8TH ST, CISCO, TX 76437-3023
(254) 631-7503
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2114207
TX
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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