Individual
MS. ANITRA BRINSON PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
960 PHILLIPS DAIRY RD, TRYON, NC 28782-8707
(828) 817-2695
Mailing address
960 PHILLIPS DAIRY RD, TRYON, NC 28782-8707
(828) 817-2695
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA19613
FL
225700000X
Massage Therapist
Primary
MAS5597
SC
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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