MS. Susan Adele Petersen, LMT

NPI #1801061676 in Wilsonville, Oregon

Provider Information

NPI Number
1801061676
Entity Type
Individual
Name
MS. Susan Adele Petersen, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Mechanotherapist
Credential
LMT
Enumeration Date
Apr 23, 2008
Last Updated
Apr 23, 2008

Practice Location

Address
30240 SW PARKWAY AVE STE 5
State
Oregon
ZIP Code
97070-9756
Phone
(503) 730-1785

Specialties & Taxonomy Codes

Specialty
Mechanotherapist

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