| NPI | 1699176644 |
|---|---|
| Former Name | ADRIENNE LEIGH PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41606) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 41606) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2023-05-04 |