SHAWN LARAE PETERSON

JOPLIN, MO
NPI1407063555
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  116146)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
Mrs. SHAWN LARAE PETERSON PTA
4500 E 32ND ST
JOPLIN, MO 64804
Phone number: 417-623-6287
Mailing Address
Mrs. SHAWN LARAE PETERSON PTA
4500 E 32ND ST
JOPLIN, MO 64804
Phone number: 417-623-6287
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