Individual
MRS. DEBRA E PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
8415 WANN DR, MADISON, AL 35758-9534
(256) 704-1700
(256) 704-1701
Mailing address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 428-3000
(256) 428-3003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4283
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
05
—
529917620
—
AL
Enumeration date
07/01/2005
Last updated
06/20/2011
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