Genevieve Petricka

NPI #1457892945 in Chaska, Minnesota

Provider Information

NPI Number
1457892945
Entity Type
Individual
Name
Genevieve Petricka
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Mar 16, 2017
Last Updated
Mar 16, 2017

Practice Location

Address
110105 PIONEER TRL
Address 2
SUITE 201
City
Chaska
ZIP Code
55318-2680
Phone
(952) 512-2470

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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