Organization
SUSAN VEATCH PETTIS
Active
Organization
SUSAN VEATCH PETTIS
Active
Other names
Specialized Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH E BEATY (BILLING AGENT)
(907) 770-2301
Entity
Organization
Contact information
Practice address
11551 TANGLEWOOD LAKES CIR, ANCHORAGE, AK 99516-1304
(907) 562-7745
(907) 562-7808
Mailing address
PO BOX 241769, ANCHORAGE, AK 99524-1769
(907) 770-2301
(907) 770-2325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AK
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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