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1023184306
PETRA S PLACE
MISSION VIEJO, CA
NPI
1023184306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT-21919)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
PETRA S PLACE PT
25982 PALA SUITE 230
MISSION VIEJO, CA 92691-6719
Phone number: 949-600-8812
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Mailing Address
PETRA S PLACE PT
8259 WICKER AVE
SAINT JOHN, IN 46373-8878
Phone number: 219-365-6553
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