| NPI | 1720489511 |
|---|---|
| Former Legal Business Name | PETRUSO AUDIOLOGY OF COURDERSPORT, LLC |
| Entity Type | Organization |
| Authorized Contact | ROBERT W PETRUSO Owner 814-720-1692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2015-01-05 |