Individual
JOLEEN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-5883
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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