Individual
JESSICA R PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
555 S PIERCE ST, LAKEWOOD, CO 80226-3470
(303) 872-7427
Mailing address
1327 W 84TH AVE, APT 2828, FEDERAL HEIGHTS, CO 80260-4725
(630) 750-6876
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
13354
CO
Other
Enumeration date
01/01/2015
Last updated
01/01/2015
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