Individual
BENJAMIN PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6201 CENTREVILLE RD, SUITE 600, CENTREVILLE, VA 20121-2626
(703) 483-4690
Mailing address
6201 CENTREVILLE RD, SUITE 600, CENTREVILLE, VA 20121-2626
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602743
VA
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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