SUSAN ADELE PETERSEN

WILSONVILLE, OR
NPI1801061676
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: OR  10903)
Enumeration Date2008-04-23
Last Update Date2008-04-23
Business Address
Ms. SUSAN ADELE PETERSEN LMT
30240 SW PARKWAY AVE STE 5
WILSONVILLE, OR 97070-9756
Phone number: 503-730-1785
Mailing Address
Ms. SUSAN ADELE PETERSEN LMT
30240 SW PARKWAY AVE STE 5
WILSONVILLE, OR 97070-9756
Phone number: 503-730-1785