NPI 1013190214

Stephanie Joyce Peterson, PTA

Practitioner Physical Therapy Assistant Milwaukie, OR

Practice location

Address: 4560 SE International Way Suite 100 Consonus Healthcare Services, Milwaukie, OR 97222
Phone: (971) 206-5149
Fax: (571) 206-5209

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence AT4098 (CA)

Other Physical Therapy Assistant providers in Oregon →

Registry record

NPI: 1013190214
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Dec 2007
Record last updated: 11 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.