Organization
PETERSON PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE ANNE PETERSON DPT (PRESIDENT)
(402) 390-1027
Entity
Organization
Contact information
Practice address
7205 W CENTER RD, STE 101, OMAHA, NE 68124-2380
(402) 390-1027
(402) 390-1037
Mailing address
7205 W CENTER RD, STE 101, OMAHA, NE 68124-2380
(402) 390-1027
(402) 390-1037
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025195100
—
NE
Enumeration date
03/05/2007
Last updated
10/15/2008
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