Individual
LINDA M PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
370 E MAPLE AVE, SUITE 103, LANGHORNE, PA 19047-2859
(215) 752-4553
(215) 752-0703
Mailing address
370 E MAPLE AVE, SUITE 103, LANGHORNE, PA 19047-2859
(215) 752-4553
(215) 752-0703
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT001161E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000464837
PA BLUE SHIELD
PA
01
—
0023856000
INDEPENDENCE BLUE CROSS
PA
01
—
0053616
AETNA
PA
Enumeration date
06/14/2006
Last updated
04/27/2011
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