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Individual

ANDREW PETERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5204 W. COLONIAL DRIVE, WINTER GARDEN, FL 34787
(407) 877-2394
Mailing address
551 TIMBERVALE TRL, CLERMONT, FL 34715-0011
(856) 667-7858

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
09/10/2018
Last updated
09/10/2018
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