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Tara Petersen, P.T.A

NPI 1366695843 · on the registry since 2008

Practice

Address
1529 Nye Rd
Lyons, NY 14489
Phone
(315) 946-5673
Fax
(315) 946-5880
Organisation at this address
County Of Wayne
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York