Individual
MRS. PAULA L PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3525 KEITH STREET NW, SUITE M, CLEVELAND, TN 37312-4354
(423) 479-7800
(423) 479-2849
Mailing address
3525 KEITH ST NW, SUITE M, CLEVELAND, TN 37312-4354
(423) 479-7800
(423) 479-2849
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT000000871
TN
225100000X
Physical Therapist
PT871
TN
Other
Enumeration date
07/11/2006
Last updated
08/19/2009
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