Individual
REBEKAH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
190 COLLEGE DR, CASTLETON, VT 05735-4484
(802) 468-1467
Mailing address
190 COLLEGE DR, CASTLETON, VT 05735-4484
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0067776
VT
Other
Enumeration date
08/27/2014
Last updated
10/12/2016
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