Individual
JENNIFER L PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
636 N 20TH AVE, BLAIR, NE 68008-1116
(402) 426-3488
(402) 426-3553
Mailing address
636 N 20TH AVE, BLAIR, NE 68008-1116
(402) 426-3488
(402) 426-3553
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
654
NE
Other
Enumeration date
12/15/2005
Last updated
07/08/2007
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