Individual
MRS. ANGELA RENEE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2725 S 144TH ST, OMAHA, NE 68144-5243
(402) 637-0750
(402) 637-0754
Mailing address
2725 S 144TH ST, OMAHA, NE 68144-5243
(402) 637-0750
(402) 637-0754
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2123
NE
Other
Enumeration date
01/25/2006
Last updated
08/28/2007
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