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1912930819
ALEX JOHN PETRUSKA
BOSTON, MA
NPI
1912930819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251S0007X Physical Therapist, Sports
(Licence: MA 2874)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
Mr. ALEX JOHN PETRUSKA PT
175 CAMBRIDGE ST SUITE 470
BOSTON, MA 02114-2743
Phone number: 617-643-0912
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Mailing Address
Mr. ALEX JOHN PETRUSKA PT
175 CAMBRIDGE ST SUITE 470
BOSTON, MA 02114-2743
Phone number: 617-643-0912
Copy
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