Individual
MRS. SUSAN M. PETTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1221 WICKFORD DR, SPRINGFIELD, IL 62704-2127
(217) 793-3762
(217) 793-3762
Mailing address
1221 WICKFORD DR, SPRINGFIELD, IL 62704-2127
(217) 793-3762
(217) 793-3762
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
IL
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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