Individual
BRENDA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 S DENISON ST, SAINT FRANCIS, KS 67756-3541
(785) 332-2531
Mailing address
820 S DENISON ST, SAINT FRANCIS, KS 67756-3541
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1400258
KS
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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