Individual
MRS. AMY GENEE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
335 HOOHANA ST STE F, KAHULUI, HI 96732-3527
(808) 446-2032
(833) 565-3144
Mailing address
335 HOOHANA ST STE F, KAHULUI, HI 96732-3527
(808) 446-2032
(833) 565-3144
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 3395
HI
2251P0200X
Pediatric Physical Therapist
Primary
PT 3395
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820515
—
HI
Enumeration date
06/29/2011
Last updated
06/13/2022
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