Individual
ELIZABETH PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1425 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3407
(636) 887-3660
(636) 887-3661
Mailing address
4800 MEXICO RD, SUITE 104, SAINT PETERS, MO 63376-1666
(636) 928-4199
(636) 922-0818
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2004021608
MO
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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