Individual
JENNIFER L PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2800 S DIXON RD, KOKOMO, IN 46902-6403
(765) 864-0237
Mailing address
1600 S L ST, ELWOOD, IN 46036-2841
(765) 552-1040
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003573A
IN
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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