Individual
INGRID P PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
505 E 3RD AVE, SUITE B, SPOKANE, WA 99202-1426
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003013
WA
Other
Enumeration date
09/09/2005
Last updated
07/08/2007
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