Individual
MARY C PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
756 RIDGE LAKE BLVD, STE 205, MEMPHIS, TN 38120-9445
(901) 758-2377
(990) 175-8110
Mailing address
7464 WINCHESTER RD, STE 103, MEMPHIS, TN 38125-2205
(901) 758-2377
(990) 175-8110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2051
TN
Other
Enumeration date
02/27/2006
Last updated
06/26/2014
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