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1316581564
JANIS KAITLIN PETERSON
PROSPECT, KY
NPI
1316581564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 007850)
Enumeration Date
2019-10-31
Last Update Date
2019-10-31
Business Address
JANIS KAITLIN PETERSON DPT
6005 TIMBER RIDGE DR
PROSPECT, KY 40059-8134
Phone number: 502-292-0800
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Mailing Address
JANIS KAITLIN PETERSON DPT
PO BOX 5629
EVANSVILLE, IN 47716-5629
Phone number: 812-759-7476
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