Individual
MARIA ELIZABETH PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
15 PARKMAN ST, WACC 134, BOSTON, MA 02114-3117
(617) 724-0125
(617) 726-2957
Mailing address
52 JANET ST, KINGSTON, NY 12401-4406
(916) 320-5816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
029393
NY
225100000X
Physical Therapist
18276
MA
225100000X
Physical Therapist
29020
CA
Other
Enumeration date
07/20/2008
Last updated
07/20/2008
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