Traci A. Peterson

NPI #1194755405 in Pueblo, Colorado

Provider Information

NPI Number: 1194755405
Entity Type: Individual
Name: Traci A. Peterson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Recreation Therapist
Enumeration Date: Jul 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1600 W 24TH ST
City: Pueblo
State: Colorado
ZIP Code: 81003-1411
Phone: (719) 546-4811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Recreation Therapist	225800000X	Primary

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