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Andrea Elizabeth Peters, PTA

Physical Therapy Assistant in Lake City, FL. Individual provider (NPI-1).

NPI number1982111845
StatusActive
Last updated in NPPESJan 2, 2018

Details

NPI
1982111845
Entity type
Individual (NPI-1)
Name
Andrea Elizabeth Peters
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Jan 2, 2018
Last updated
Jan 2, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant27654FLYes

Practice location

1438 Sw Main Blvd
Lake City, FL 32025-1106

Phone 386-755-3164

Mailing address

1438 Sw Main Blvd
Lake City, FL 32025-1106

Phone 386-755-3164

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