Individual
ANGELA A PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
435 S 13TH ST, ELY, NV 89301-2215
(775) 289-1622
Mailing address
435 S 13TH ST, ELY, NV 89301-2215
(775) 289-1622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2028
NV
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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