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Wadson Petithomme, ATC
NPI 1629586003 · on the registry since 2018
Practice
- Address
- 290 Massie Rd
Charlottesville, VA 22903 - Phone
- (203) 726-0835
- Clinicians at this address
- 18
Additional practice sites
- 5151 Park Ave, Fairfield, CT
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-05-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia