Jovon Petty, LAT, ATC
NPI #1619441912 in Glenside, Pennsylvania
Provider Information
- NPI Number
- 1619441912
- Entity Type
- Individual
- Name
- Jovon Petty, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Jan 20, 2019
- Last Updated
- Apr 6, 2021
Practice Location
- Address
- 629 LAVEROCK RD
- City
- Glenside
- State
- Pennsylvania
- ZIP Code
- 19038-2817
- Phone
- (215) 910-1476
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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