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1215457601
CODY PETERSEN
BELLINGHAM, WA
NPI
1215457601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA 60045899)
Enumeration Date
2017-06-26
Last Update Date
2017-06-26
Business Address
CODY PETERSEN PTA
316 E MCLEOD RD STE 101
BELLINGHAM, WA 98226-6491
Phone number: 360-734-5410
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Mailing Address
CODY PETERSEN PTA
200 S 34TH ST
BELLINGHAM, WA 98225-6057
Phone number: 360-927-2203
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