Individual
DR. JENNIFER M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.M, A.P.
Contact information
Practice address
5717 DEREK AVE, SARASOTA, FL 34233-2413
(941) 929-2909
Mailing address
5717 DEREK AVE, SARASOTA, FL 34233-2413
(941) 926-2909
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
3634
FL
171100000X
Acupuncturist
AP 3634
FL
225700000X
Massage Therapist
2946
MA
Other
Enumeration date
06/08/2009
Last updated
07/21/2022
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