Individual
SHAWN LYNN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1500 VILLA RD, SPRINGFIELD, OH 45503-1656
(937) 342-8424
Mailing address
21 E CECIL ST, SPRINGFIELD, OH 45504-2215
(937) 215-7446
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07010
OH
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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