Individual
ALEXANDRA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
348 WARFIELD BLVD STE C&D, CLARKSVILLE, TN 37043-8904
(931) 906-4170
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 324-6661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12487
TN
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q029723
—
TN
Enumeration date
09/30/2019
Last updated
01/27/2022
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