Susan Veatch Pettis

NPI #1972735272 in Anchorage, Alaska

Provider Information

NPI Number: 1972735272
Entity Type: Organization
Organization Name: Susan Veatch Pettis
Primary Specialty: Physical Therapist
Enumeration Date: Aug 20, 2009
Last Updated: Aug 20, 2009

Practice Location

Address: 11551 TANGLEWOOD LAKES CIR
City: Anchorage
State: Alaska
ZIP Code: 99516-1304
Phone: (907) 562-7745

Authorized Official

Name: JOSEPH E BEATY
Title: BILLING AGENT
Phone: (907) 770-2301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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