Individual
HANNAH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14002 E 21ST ST STE 650, TULSA, OK 74134-1425
(405) 355-3239
Mailing address
2454 S BENEDICT RD, LUDINGTON, MI 49431-9332
(231) 233-2571
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005825
MI
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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