Individual
REBECCA PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8017 CODRINGTON PL, COLORADO SPRINGS, CO 80908-5012
(719) 761-2085
Mailing address
8017 CODRINGTON PL, COLORADO SPRINGS, CO 80908-5012
(719) 761-2085
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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