Individual
MS. KATIE LEA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
510 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3165
(860) 769-6690
Mailing address
510 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3165
(860) 769-6690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10387
CT
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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