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DENISE PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
13610 BARRETT OFFICE DR STE 104, BALLWIN, MO 63021-7818
(314) 822-8107
(314) 822-5106
Mailing address
13610 BARRETT OFFICE DR STE 104, BALLWIN, MO 63021-7818
(314) 822-8107
(314) 822-5106

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014017867
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2014017867
PT LICENSE #
MO
Enumeration date
07/29/2016
Last updated
07/29/2016
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