Individual
TRICIA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
586 LONE TREE DR, MT PLEASANT, SC 29464-8170
(843) 884-7880
(843) 884-6635
Mailing address
586 LONE TREE DR, MT PLEASANT, SC 29464-8170
(843) 884-7880
(843) 884-6635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5503
SC
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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