Individual
ELIZABETH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 14TH AVE SE, DECATUR, AL 35601-4364
(256) 355-6911
Mailing address
715 CEDAR LAKE RD SW APT 1012, DECATUR, AL 35603-1912
(256) 445-0259
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA9879
AL
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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