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Andrew John Petulla, PT
Specialist in San Jose, California
NPI 1063426807

Andrew John Petulla is a Specialist based in San Jose, CA. Andrew John Petulla practices in San Jose, CA and has the professional credentials of PT. The NPI Number for Andrew John Petulla is 1063426807 and holds a License No. PT15558 (California).

The current practice location address for Andrew John Petulla is 2048 Lincoln Ave, San Jose, CA and can be reached out via phone at 408-448-1677 and via fax at 408-448-7060.

Location: 2048 Lincoln Ave, San Jose, CA, 95125-3449
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063426807
Provider Name
Andrew John Petulla
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
2048 Lincoln Ave, San Jose, CA, 95125-3449
Phone Number
408-448-1677
Fax Number
408-448-7060
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2048 Lincoln Ave
City
San Jose
State
California
Zip
95125-3449
Phone Number
408-448-1677
Fax Number
408-448-7060
person
Provider Business Mailing Address Details
Address
2048 Lincoln Ave
City
San Jose
State
California
Zip
95125-3449
Phone Number
408-448-1677
Fax Number
408-448-7060
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT15558 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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