Individual
KADRIAN ARMENIUS PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8425 HEARTH DR APT 35, HOUSTON, TX 77054-2711
(713) 534-5047
Mailing address
8425 HEARTH DR APT 35, HOUSTON, TX 77054-2711
(713) 534-5047
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2046142
TX
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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