Individual
MS. DAWN ANN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
711 STATE LINE RD, CONNEAUT, OH 44030-9602
(440) 593-1213
Mailing address
711 STATE LINE RD, CONNEAUT, OH 44030-9602
(440) 593-1213
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6120
OH
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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