Doctor Name: | JOSEPH JOHN PETKEWICH |
NPI Number: | 1376644070 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 87 |
Business Practice Address: | Usahc Bavaria Bamberg Hc, Unit 27528 Apo, AE - 09139 |
Business Phone Number: | 011499513008272 |
Business Fax Number: | |
Mailing Address: | Usameddac Bavaria, Credentials Office, Unit 26610 APO |
State: | AE |
Postal Code: | 09036 |
Phone Number: | 011499318897768 |
Fax Number: | 011499318897772 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 05/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 87 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |