Most Relevant Information
Provider Data
| NPI Number: | 1003342114 |
| Provider Name: | KAITLYN PETERS |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA27966 |
Most Important Dates
| Enumeration Date: | 05/10/2017 |
| Last Updated: | 05/01/2018 |
Provider Practice Location
11236 NORVELL RD
SPRINGHILL
FL
34608
Practice Location Phone/Fax
| Phone: | 3529429910 |
| Fax: |
Provider Mailing Location
11236 NORVELL RD
SPRING HILL
FL
346082927
Provider Mailing Phone/Fax
| Phone: | 3529429910 |
| Fax: |