Individual
ALISSA KRISTINE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, NCS, CBIS
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-2146
Mailing address
535 E LA SALLE AVE, ROYAL OAK, MI 48073-3572
(248) 765-5309
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016154
MI
Other
Enumeration date
02/28/2018
Last updated
03/24/2021
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