Individual
RONDA K PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
125 NEMZEK, MSUM, MOORHEAD, MN 56563
(218) 477-2626
Mailing address
2213 6TH ST S, MOORHEAD, MN 56560-4102
(218) 287-1270
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1020
MN
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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