Individual
DONNA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
901 SHELBY ST, INDIANAPOLIS, IN 46203-1151
(317) 525-8386
Mailing address
901 SHELBY ST, INDIANAPOLIS, IN 46203-1151
(317) 525-8386
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
060000998A
IN
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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