Individual
JULIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1140 EDWARDS VILLAGE BLVD B208, EDWARDS, CO 81632-4828
(970) 569-3883
(970) 569-3884
Mailing address
PO BOX 4828, EDWARDS, CO 81632-4828
(970) 569-3883
(970) 569-3884
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1161230
CO
2251X0800X
Orthopedic Physical Therapist
9111
CO
Other
Enumeration date
10/04/2005
Last updated
02/02/2012
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