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1508002403
MOLLY JO PETERSEN
CORAL SPRINGS, FL
NPI
1508002403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA1659)
Enumeration Date
2008-12-23
Last Update Date
2008-12-23
Business Address
-- MOLLY JO PETERSEN PTA
2420 NW 115TH AVE
CORAL SPRINGS, FL 33065-3422
Phone number: 954-552-4351
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Mailing Address
-- MOLLY JO PETERSEN PTA
2420 NW 115TH AVE
CORAL SPRINGS, FL 33065-3422
Phone number: 954-552-4351
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