Individual
CYNTHIA SANDQUIST PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6600 COLLEGE BLVD, OVERLAND PARK, KS 66211-1520
(913) 451-7372
(913) 451-7375
Mailing address
6600 COLLEGE BLVD, OVERLAND PARK, KS 66211-1520
(913) 451-7372
(913) 451-7375
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03673
KS
225100000X
Physical Therapist
2006038289
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37719018
BCBS
KS
Enumeration date
10/27/2006
Last updated
11/27/2007
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