Teresa Petzke

NPI #1790255339 in St Joseph, Michigan

Provider Information

NPI Number: 1790255339
Entity Type: Individual
Name: Teresa Petzke
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Nov 27, 2018
Last Updated: Nov 27, 2018

Practice Location

Address: 1234 NAPIER AVE
City: St Joseph
State: Michigan
ZIP Code: 49085
Phone: (269) 983-8161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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