Individual
MRS. JAZZLYN MARIE PETRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3422
Mailing address
9000 MANCHESTER LN UNIT 20A, MELBOURNE, FL 32904-2092
(937) 467-9198
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30959
FL
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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