Individual
CODY PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
316 E MCLEOD RD STE 101, BELLINGHAM, WA 98226-6491
(360) 734-5410
Mailing address
200 S 34TH ST, BELLINGHAM, WA 98225-6057
(360) 927-2203
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60045899
WA
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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