Thomas David Pettey BS IN PT

NPI 1932201936 - Physical Therapist - 225100000X

NPI Details
NPI 1932201936
Gender Male
Enumeration Date 09/01/2006
Last Updated 07/13/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3600 N INTERSTATE AVE
PORTLAND OR, 97227-1106, US
Phone (503) 331-3052
Fax
Business Location
3600 N INTERSTATE AVE
PORTLAND OR, 97227-1106, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Oregon
License Number 1312
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According to our database, Thomas David Pettey BS IN PT NPI is 1932201936, taxonomy code is 225100000X and license number is 1312, license state is located at Oregon. Thomas David Pettey BS IN PT physically located at 3600 N Interstate Ave, Portland OR, 97227-1106. NPI Number Thomas David Pettey BS IN PT has the Individual type.

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1932201936 NPI number is provided on an as is basis without warranty of any kind. 1932201936 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas David Pettey BS IN PT are for informational purposes only.