Individual
BOBBI JO PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
300 W 5TH ST, MILLER, SD 57362-1238
(605) 853-2421
(605) 853-0333
Mailing address
300 W 5TH ST, MILLER, SD 57362-1238
(605) 853-2421
(605) 853-0333
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0137
SD
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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