Doctor Name: | MRS. MARY MARGARET PETRIE |
NPI Number: | 1760709646 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 739587 |
Business Practice Address: | 3380 E Main St Danville, IN - 461229089 |
Business Phone Number: | 3177180089 |
Business Fax Number: | 3177180097 |
Mailing Address: | 1304 Pamela Dr, FRANKLIN |
State: | IN |
Postal Code: | 461317027 |
Phone Number: | 3177368551 |
Fax Number: | 3177368551 |
NPI Enumeration Date: | 04/30/2010 |
NPI Last Update Date: | 04/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 739587 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |