Individual
JANIS L. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10 MARKET PLACE DR # 3B, YORK, ME 03909-1680
(207) 351-3078
(207) 351-3083
Mailing address
10 MARKET PLACE DR # 3B, YORK, ME 03909-1680
(207) 351-3078
(207) 351-3083
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA3642
ME
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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