Individual
AMBER PETERECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2030 RAHN WAY, EAGAN, MN 55122-2300
(651) 529-1966
Mailing address
2030 RAHN WAY, EAGAN, MN 55122-2300
(651) 529-1966
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9508
MN
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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