Individual
CONNIE LEE PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC, PHD
Contact information
Practice address
JAMES MADISON UNIVERSITY, MSC 4301, HARRISONBURG, VA 22807-0001
(540) 568-7085
(540) 568-3336
Mailing address
3839 MILL RACE CT, HARRISONBURG, VA 22801-2270
(540) 568-7085
(540) 568-3336
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000622
VA
Other
Enumeration date
04/24/2006
Last updated
07/08/2007
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