Individual
MRS. KRISTINA LYNN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
356 RIDGE RD, PINE, CO 80470-7983
(303) 816-1699
Mailing address
PO BOX 729, 356 RIDGE RD, PINE, CO 80470-0729
(303) 816-1699
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012550
CO
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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