STEPHANIE ANN PETERSEN

KINGSLAND, GA
NPI1578833711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA002706)
Enumeration Date2012-01-05
Last Update Date2012-01-05
Business Address
-- STEPHANIE ANN PETERSEN PTA
100 LINDSEY LN # A
KINGSLAND, GA 31548-6850
Phone number: 912-729-1333
Mailing Address
-- STEPHANIE ANN PETERSEN PTA
PO BOX 949
ROME, GA 30162-0949
Phone number: 706-236-2774
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