Individual
CHRISTY SUE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
47581 815TH RD, ORD, NE 68862-5362
(308) 730-1331
(308) 728-5644
Mailing address
47581 815TH RD, ORD, NE 68862-5362
(308) 730-1331
(308) 728-5644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
670
NE
Other
Enumeration date
11/05/2011
Last updated
11/05/2011
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