Individual
PATRICE KNIGHTLY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
256 NEW BRITAIN AVE, NEWINGTON, CT 06111-4416
(860) 666-5689
Mailing address
41 GLENWOOD RD, WEST HARTFORD, CT 06107-1506
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006391
CT
Other
Enumeration date
01/08/2008
Last updated
01/02/2014
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