SHANNON PETERSEN, P.T.
Physical Therapist
Active
Individual
NPI: 1619969383
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 02411 (IA) |
Frequently Asked Questions
NPI 1619969383 is the National Provider Identifier for SHANNON PETERSEN, P.T., a Physical Therapist provider located in Des Moines, IA. This NPI was enumerated on August 18, 2005.
SHANNON PETERSEN, P.T. practices at 3200 GRAND AVE, Des Moines, IA 50312.
Quick Facts
- NPI
- 1619969383
- Type
- Individual
- Enumerated
- Aug 18, 2005
- Last Updated
- Mar 4, 2010
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