Individual
ANGELA KAYANN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1111 6TH AVE, SUITE B3, DES MOINES, IA 50314-2613
(515) 358-0150
(515) 358-0150
Mailing address
PO BOX 4925, DES MOINES, IA 50305-4925
(515) 358-0150
(515) 358-0149
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005
IA
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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