Individual
MICHELLE AMBER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
3461 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4302
(215) 823-4507
Mailing address
309 SUMMIT AVE, JENKINTOWN, PA 19046-3135
(267) 808-8690
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
PA
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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