| Doctor Name: | JULIE PETERSON |
| NPI Number: | 1215924279 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 9111 |
| Business Practice Address: | 1140 Edwards Village Blvd B208 Edwards, CO - 816324828 |
| Business Phone Number: | 9705693883 |
| Business Fax Number: | 9705693884 |
| Mailing Address: | Po Box 4828, EDWARDS |
| State: | CO |
| Postal Code: | 816324828 |
| Phone Number: | 9705693883 |
| Fax Number: | 9705693884 |
| NPI Enumeration Date: | 10/04/2005 |
| NPI Last Update Date: | 02/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 9111 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |