Individual
CLIFFORD LEE PETERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(202) 877-1000
Mailing address
13924 WINDING RIDGE LN, CENTREVILLE, VA 20121-4806
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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