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1932201936
THOMAS DAVID PETTEY
PORTLAND, OR
NPI
1932201936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 1312)
Enumeration Date
2006-09-01
Last Update Date
2007-07-13
Business Address
-- THOMAS DAVID PETTEY BS in PT
3600 N INTERSTATE AVE
PORTLAND, OR 97227-1106
Phone number: 503-331-3052
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Mailing Address
-- THOMAS DAVID PETTEY BS in PT
3600 N INTERSTATE AVE
PORTLAND, OR 97227-1106
Phone number:
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