Individual
DIANE K PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
208 MAIN ST, WAYNE, NE 68787-1941
(402) 833-5343
(402) 833-5349
Mailing address
208 MAIN ST, WAYNE, NE 68787-1941
(402) 833-5343
(402) 833-5349
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
687
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025617600
—
NE
Enumeration date
04/25/2008
Last updated
04/25/2008
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