Individual
ANNA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 ROLLING OAKS RD UNIT D, SUGAR GROVE, IL 60554-9337
(779) 777-3659
Mailing address
58 ROLLING OAKS RD UNIT D, SUGAR GROVE, IL 60554-9337
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/22/2017
Last updated
10/22/2017
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