Individual
TIFFANY LYNN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9856 E LOUISIANA DR APT 3101, AURORA, CO 80247-2402
(720) 425-5434
Mailing address
9856 E LOUISIANA DR APT 3101, AURORA, CO 80247-2402
(720) 425-5434
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
CO
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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