Individual
MRS. AMY SUE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
18430 HARVEST MEADOWS DR W, WESTFIELD, IN 46074-9122
(317) 223-1520
(317) 867-5891
Mailing address
18430 HARVEST MEADOWS DR W, WESTFIELD, IN 46074-9122
(317) 223-1520
(317) 867-5891
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005576A
IN
2251P0200X
Pediatric Physical Therapist
05005576A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200610670
FIRST STEPS
IN
Enumeration date
07/26/2006
Last updated
04/25/2008
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