Individual
HOLLY ANNE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
186 SUMMER ST, KINGSTON, MA 02364-1282
(781) 585-8588
(781) 585-1279
Mailing address
535 S MAIN ST, 2ND FLOOR, RANDOLPH, MA 02368-5261
(781) 961-3370
(781) 767-7531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19130
MA
Other
Enumeration date
07/14/2010
Last updated
09/17/2015
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