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Individual

MRS. NICOLE E PETERSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1245 15TH ST N, SAINT CLOUD, MN 56303-1802
(320) 529-0036
(320) 259-0038
Mailing address
232 PLEASANT RIDGE DR, SAUK RAPIDS, MN 56379-2136
(320) 251-9717

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7157
MN

Other

Enumeration date
01/12/2006
Last updated
07/08/2007
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