Individual
MRS. KATHY GRANT PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7707 W BRITTON RD, OKLAHOMA CITY, OK 73132-1512
(405) 720-7200
Mailing address
7733 FORSYTH BLVD, 2300, SAINT LOUIS, MO 63105-1817
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
525
OK
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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