Individual
TERI KAMINSKI PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15620 EDGEWOOD DR STE 240, BAXTER, MN 56425
(218) 454-7012
Mailing address
820 ROY ST, ORTONVILLE, MN 56278-1138
(320) 839-4271
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5504
MN
Other
Enumeration date
01/30/2007
Last updated
03/01/2010
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