| NPI | 1790915767 |
|---|---|
| Former Name | ERIN KATHERINE PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1103981) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: KS 1103981) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: KS 1103981) | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2011-12-16 |