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General NPI Number Information
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NPI Number | 1598240384
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Entity Type | Organization
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Legal Business Name | PETROSKI PHYSIOTHERAPY AND PERFORMANCE LLC
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 12331 ACADEMY RD
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City | PHILADELPHIA
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State | PA
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Zip | 19154-1927
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Country | US
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Telephone | 215-576-4796
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Fax |
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Provider Business Mailing Address
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Address Line | 12331 ACADEMY RD
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City | PHILADELPHIA
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State | PA
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Zip | 19154-1927
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Country | US
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Telephone | 215-576-4796
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Fax | 215-392-5175
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Authorized Official
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Title or Position | OWNER
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Name | DR. NICHOLAS PETROSKI
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Credential | DPT
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Telephone | 215-576-4796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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