Individual
CAMILA ROSE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 E MARTIN LUTHER KING JR BLVD, AUSTIN, TX 78702-1342
(512) 900-7934
Mailing address
7509 LAZY CREEK DR # A, AUSTIN, TX 78724-3300
(832) 360-0091
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
119713
TX
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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