Individual
MRS. JULIE ANNE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7205 W CENTER RD, 101, OMAHA, NE 68124-2380
(402) 390-1027
(402) 390-1037
Mailing address
5112 NICHOLAS ST, OMAHA, NE 68132-1434
(402) 498-4397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2020
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251951-00
—
NE
Enumeration date
08/30/2006
Last updated
07/09/2007
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