MICHAEL M PETKOVIC

TEMPE, AZ
NPI1871611855
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AZ  1822)
Enumeration Date2007-03-27
Last Update Date2009-09-15
Business Address
-- MICHAEL M PETKOVIC OT
1930 E SOUTHERN AVE
TEMPE, AZ 85282-7518
Phone number: 480-456-0719
Mailing Address
-- MICHAEL M PETKOVIC OT
1930 E SOUTHERN AVE
TEMPE, AZ 85282-7518
Phone number: 480-456-0719
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