Individual
MRS. LEAH MARCELLA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
440 N HIAWATHA DR, CANTON, SD 57013-5800
(605) 987-2621
Mailing address
606 E 1ST ST, CANTON, SD 57013-1306
(605) 764-3309
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0433
SD
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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