Individual
CRISTY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BETHANY RD STE 53, HAZLET, NJ 07730-1667
(732) 335-8111
Mailing address
1 BETHANY RD STE 53, HAZLET, NJ 07730-1667
(732) 335-8111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02199200
NJ
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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