Individual
MRS. JULIE P. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1215 S POST OAK RD, SUITE 3, SULPHUR, LA 70663-5200
(337) 626-9888
(337) 626-8040
Mailing address
1909 SOUTHWOOD DR, LAKE CHARLES, LA 70605-4132
(337) 477-9292
(337) 477-9268
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00644
LA
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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