MR. Mark E Pettis, PTA
NPI #1982884524 in La Porte, Indiana
Provider Information
- NPI Number
- 1982884524
- Entity Type
- Individual
- Name
- MR. Mark E Pettis, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Credential
- PTA
- Enumeration Date
- Nov 12, 2007
- Last Updated
- Aug 25, 2008
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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Organizations
| Provider Name | |
|---|---|
| Liberty Township Trustee |
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