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Jessica Petersen, PTA
NPI 1821393745 · on the registry since 2011
Practice
- Address
- 8550 S 300 E Apt 3
Sandy, UT 84070 - Phone
- (307) 679-0532
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-01-25
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 Utah