# JUDITH R. PETERSON, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SoDak Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497952162
- **Authorized official:** DR. JUDITH R. PETERSON M.D. (PHYSICIAN)
- **Authorized official phone:** 16053613945

## Contact information

- **Practice address:** 5023 S BUR OAK PL, SIOUX FALLS, SD 57108-2228
- **Practice address phone:** (160) 536-1394
- **Practice address fax:** (160) 536-1212
- **Mailing address:** 5023 S BUR OAK PL, SIOUX FALLS, SD 57108-2228
- **Mailing address phone:** (160) 536-1394
- **Mailing address fax:** (160) 536-1212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 5238 | SD | Yes |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 08/22/2020