Individual
THERESIA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MAIN ST S, MINOT, ND 58701-3914
(701) 389-9363
Mailing address
21 MAIN ST S STE 100, MINOT, ND 58701-3890
(701) 389-9363
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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