Robert M Petty PTA MT

NPI 1174683882 - Massage Therapist - 225700000X

NPI Details
NPI 1174683882
Gender Male
Enumeration Date 12/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4000 ALBEMARLE STREET NW
SUITE 501
WASHINGTON DC, 20016, US
Phone (202) 966-2033
Fax (202) 966-2034
Business Location
4000 ALBEMARLE STREET NW
SUITE 501
WASHINGTON DC, 20016, US
Phone (202) 966-2033
Fax (202) 966-2034
Toxanomy
Taxonomy Code 225700000X
License State Virginia
License Number 2306000602
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According to our database, Robert M Petty PTA MT NPI is 1174683882, taxonomy code is 225700000X and license number is 2306000602, license state is located at Virginia. Robert M Petty PTA MT physically located at 4000 Albemarle Street Nw, Washington DC, 20016. NPI Number Robert M Petty PTA MT has the Individual type.

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1174683882 NPI number is provided on an as is basis without warranty of any kind. 1174683882 is maintained by the National Plan & Provider Enumeration System. The contents of Robert M Petty PTA MT are for informational purposes only.