Individual
JENNIFER LYNNE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
4646 E. GREENWAY RD, SUITE 110, PHOENIX, AZ 85032
(602) 923-6750
(602) 923-6804
Mailing address
1025 E BROADWAY RD, SUITE 201, TEMPE, AZ 85282-1599
(480) 377-9320
(480) 377-9327
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7752
AZ
225100000X
Physical Therapist
—
AZ
Other
Enumeration date
07/16/2007
Last updated
08/18/2009
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