Ryan Lee Pettet, P.T.A.

NPI #1144418351 in Winamac, Indiana

Provider Information

NPI Number
1144418351
Entity Type
Individual
Name
Ryan Lee Pettet, P.T.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
P.T.A.
Enumeration Date
Oct 12, 2007
Last Updated
Oct 12, 2007

Practice Location

Address
616 E 13TH ST
State
Indiana
ZIP Code
46996-1117
Phone
(574) 946-2157

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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