Individual
ANDREW SCOTT PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1908 GEORGE WASHINGTON WAY STE B, RICHLAND, WA 99354-2386
(509) 947-3513
Mailing address
176 UPPER POND RD, MURPHY, NC 28906-6330
(828) 644-4299
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7149
NC
225200000X
Physical Therapy Assistant
CP022572A
WA
225200000X
Physical Therapy Assistant
PTA30970
FL
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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