MR. John S Petrides

NPI #1982923652 in Southaven, Mississippi

Provider Information

NPI Number: 1982923652
Entity Type: Individual
Name: MR. John S Petrides
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: May 20, 2010
Last Updated: May 20, 2010

Practice Location

Address: 5699 GETWELL RD
Address 2: BUILDING E, SUITE 2
City: Southaven
State: Mississippi
ZIP Code: 38672-7312
Phone: (662) 349-6712

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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