Individual
CAROLINE ELIZABETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
167 DWIGHT RD, SUITE #201, LONGMEADOW, MA 01106-1752
(413) 567-6122
Mailing address
160 POINT GROVE RD, APT. 44, SOUTHWICK, MA 01077-9665
(413) 977-3307
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1441
MA
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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