Lori Pettit, PTA

NPI #1376191908 in Pleasant Prairie, Wisconsin

Provider Information

NPI Number: 1376191908
Entity Type: Individual
Name: Lori Pettit, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 27, 2019
Last Updated: Aug 27, 2019

Practice Location

Address: 10330 PRAIRIE RIDGE BLVD
City: Pleasant Prairie
State: Wisconsin
ZIP Code: 53158-1947
Phone: (262) 612-2831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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