Individual
JODI PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 241-5315
(651) 241-7177
Mailing address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 241-5315
(651) 241-7177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8094
MN
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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