Individual
JEANNIE SUE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51320 COUNTY ROAD 33, NUNN, CO 80648-9734
(923) 285-2293
Mailing address
51320 COUNTY ROAD 33, NUNN, CO 80648-9734
(925) 285-2293
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0015305
CO
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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