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Individual

MR. ALEX JOHN PETRUSKA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
175 CAMBRIDGE ST, SUITE 470, BOSTON, MA 02114-2743
(617) 643-0912
Mailing address
175 CAMBRIDGE ST, SUITE 470, BOSTON, MA 02114-2743
(617) 643-0912

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
2874
MA

Other

Enumeration date
07/07/2006
Last updated
07/08/2007
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