Individual
MISS BRIANNA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2359 N TRIPHAMMER RD, ITHACA, NY 14850-1059
(607) 257-5009
Mailing address
3 MICHELLE CT, QUEENSBURY, NY 12804-8830
(518) 260-2132
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
037091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271852471
—
NY
Enumeration date
01/12/2014
Last updated
01/12/2014
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