MRS. Stephanie Joyce Peterson, PTA

NPI #1013190214 in Milwaukie, Oregon

Provider Information

NPI Number
1013190214
Entity Type
Individual
Name
MRS. Stephanie Joyce Peterson, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Dec 11, 2007
Last Updated
Dec 11, 2007

Practice Location

Address
4560 SE INTERNATIONAL WAY
Address 2
SUITE 100 CONSONUS HEALTHCARE SERVICES
State
Oregon
ZIP Code
97222
Phone
(971) 206-5149

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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