Individual
MRS. BARBARA JACQUELINE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
290 MOYER LN NW, SALEM, OR 97304-3822
(503) 370-8990
(503) 363-4214
Mailing address
2840 GRAYHAWK CT NW, SALEM, OR 97304-3414
(503) 399-5411
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
0930
OR
Other
Enumeration date
12/14/2005
Last updated
06/20/2012
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