Individual
ELIZABETH MARIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15751 SAN CARLOS BLVD STE 4, FORT MYERS, FL 33908-3315
(239) 337-2739
(239) 337-2738
Mailing address
15751 SAN CARLOS BLVD STE 4, FORT MYERS, FL 33908-3315
(239) 337-2739
(239) 337-2738
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013204A
IN
225100000X
Physical Therapist
PT32891
FL
Other
Enumeration date
10/19/2017
Last updated
08/01/2019
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