Individual
AMY NOELLE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6776 LAKE DR STE 220, LINO LAKES, MN 55014-1192
(651) 784-7007
(651) 784-7992
Mailing address
6776 LAKE DR STE 220, LINO LAKES, MN 55014-1192
(651) 784-7007
(651) 784-7992
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9207
MN
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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