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James Petty
Rehabilitation Practitioner in South Pasadena, California
NPI 1811169600

James Petty is a Rehabilitation Practitioner based in South Pasadena, CA. James Petty practices in South Pasadena, CA. The NPI Number for James Petty is 1811169600 and holds a License No. (California).

The current practice location address for James Petty is 625 Fair Oaks Ave Ste 300, South Pasadena, CA and can be reached out via phone at 626-395-7100.

Location: 625 Fair Oaks Ave Ste 300, South Pasadena, CA, 91030-5805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811169600
Provider Name
James Petty
Credential
Provider Entity Type
Individual
Gender
Male
Address
625 Fair Oaks Ave Ste 300, South Pasadena, CA, 91030-5805
Phone Number
626-395-7100
Fax Number
Provider Enumeration Date
04/01/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
625 Fair Oaks Ave Ste 300
City
South Pasadena
State
California
Zip
91030-5805
Phone Number
626-395-7100
Fax Number
person
Provider Business Mailing Address Details
Address
625 Fair Oaks Ave Ste 300
City
South Pasadena
State
California
Zip
91030-5805
Phone Number
626-395-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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