Individual
AMBER PETREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 S CLEARVIEW PKWY, JEFFERSON, LA 70121-1015
(225) 206-0992
Mailing address
1461 2ND ST, LUTCHER, LA 70071-5505
(225) 206-0992
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200135
LA
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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