Individual
MS. DEBORAH A PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT2996
WA
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038860
STATE L&I
WA
01
—
650010188
RAILROAD MEDICARE
—
01
—
GAB37906
MEDICARE PROVIDER
—
Enumeration date
03/24/2006
Last updated
04/13/2015
Update your record
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