Individual
YULIYA V PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4007 TIETON DR, YAKIMA, WA 98908-3345
(509) 966-4500
Mailing address
5200 W NOB HILL BLVD, APT. 314, YAKIMA, WA 98908-3778
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60259623
WA
Other
Enumeration date
02/21/2012
Last updated
08/08/2012
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