ANDREW PETERSON

MERIDIAN, ID
NPI1790354264
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-7222)
Enumeration Date2021-06-21
Last Update Date2021-06-21
Business Address
ANDREW PETERSON DPT
3025 W CHERRY LN STE D
MERIDIAN, ID 83642-8531
Phone number: 208-367-8593
Mailing Address
ANDREW PETERSON DPT
121 E VICTORY RD APT A202
MERIDIAN, ID 83642-6915
Phone number: 208-731-5267
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