Individual
ALLIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2290 E PROSPECT RD STE 2, FORT COLLINS, CO 80525-9768
(970) 416-9357
(970) 416-9359
Mailing address
2290 E PROSPECT RD STE 2, FORT COLLINS, CO 80525-9768
(970) 416-9357
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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