Individual
JENNA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6160 PEACHTREE DUNWOODY RD NE, SUITE B 90, ATLANTA, GA 30328-4578
(770) 673-0093
Mailing address
6160 PEACHTREE DUNWOODY RD NE, SUITE B 90, ATLANTA, GA 30328-4578
(770) 673-0093
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009818
GA
Other
Enumeration date
11/03/2009
Last updated
08/04/2010
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