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1851323067
CONSTANCE V PETERSON
KINGSTON, TN
NPI
1851323067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: TN 1095)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
Mrs. CONSTANCE V PETERSON PT
187 GALLAHER RD
KINGSTON, TN 37763-4721
Phone number: 865-376-4620
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Mailing Address
Mrs. CONSTANCE V PETERSON PT
211 CENTER PARK DRIVE SUITE 3060
KNOXVILLE, TN 37922
Phone number: 865-966-8545
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