Individual
CONNER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8340 MISSION RD, STE 119, PRAIRIE VILLAGE, KS 66206
(913) 325-2006
Mailing address
625 KENMOOR AVE, STE 100, GRAND RAPIDS, MI 49546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-07763
KS
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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