Individual
KAITLYN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11236 NORVELL RD, SPRINGHILL, FL 34608
(352) 942-9910
Mailing address
11236 NORVELL RD, SPRING HILL, FL 34608-2927
(352) 942-9910
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27966
FL
Other
Enumeration date
05/10/2017
Last updated
05/01/2018
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