JAMES MICHAEL PETERSON

ROCKFORD, IL
NPI1619784493
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Additional Taxonomies222Q00000X Developmental Therapist
Enumeration Date2024-12-16
Last Update Date2024-12-16
Business Address
JAMES MICHAEL PETERSON
405 WELTY AVE
ROCKFORD, IL 61107-4562
Phone number: 779-221-6395
Mailing Address
JAMES MICHAEL PETERSON
405 WELTY AVE
ROCKFORD, IL 61107-4562
Phone number: 779-221-6395
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