Individual
SARA PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
513 LEEWARD AVE, BEACHWOOD, NJ 08722-2625
(732) 267-2562
Mailing address
513 LEEWARD AVE, BEACHWOOD, NJ 08722-2625
(732) 267-2562
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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