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Benjamin Pettit, PTA
NPI 1871725044 · on the registry since 2009
Practice
- Address
- 6201 Centreville Rd
Suite 600
Centreville, VA 20121 - Phone
- (703) 483-4690
- Organisation at this address
- Town Center Orthopaedic Associates Pc
Fairfax Family Practice Centers, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 46
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-08-20
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