Andrew John Petulla, P.T.
NPI #1063426807 in San Jose, California
Provider Information
- NPI Number
- 1063426807
- Entity Type
- Individual
- Name
- Andrew John Petulla, P.T.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- P.T.
- Enumeration Date
- Jul 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2048 LINCOLN AVE
- City
- San Jose
- State
- California
- ZIP Code
- 95125-3449
- Phone
- (408) 448-1677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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