Individual
VALERIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 451-1120
Mailing address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 451-1120
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1701
MN
363A00000X
Physician Assistant
Primary
12334
MN
Other
Enumeration date
08/02/2006
Last updated
09/28/2020
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