Petrusic, Peter M.

Petrusic, Peter M. is an individual health care provider with primary practice located at 7467 Saint Andrews Rd Ste 9 , Irmo SC 29063-2876. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant is his primary health care specialty. Petrusic, Peter M. can be contacted via phone (803) 749-5031.

Contact Information

Primary practice address
7467 Saint Andrews Rd Ste 9 Irmo SC 29063-2876
Phone: (803) 749-5031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2403 South Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 3954 South Carolina

Profile Details

NPI number 1265929285
LBN Legal business name Petrusic, Peter M.
Credentials MS, ATC, PTA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2018
Last updated Apr 16th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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