Richard Joshua Petty

NPI #1730673633 in Dubach, Louisiana

Provider Information

NPI Number
1730673633
Entity Type
Individual
Name
Richard Joshua Petty
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Jun 15, 2018
Last Updated
Jun 15, 2018

Practice Location

Address
211 BROWN RD
City
Dubach
ZIP Code
71235-3346
Phone
(318) 257-2956

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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