| Doctor Name: | MRS. JULIE P. PETERSON |
| NPI Number: | 1417021973 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 00644 |
| Business Practice Address: | 1215 S Post Oak Rd Suite 3 Sulphur, LA - 706635200 |
| Business Phone Number: | 3376269888 |
| Business Fax Number: | 3376268040 |
| Mailing Address: | 1909 Southwood Dr, LAKE CHARLES |
| State: | LA |
| Postal Code: | 706054132 |
| Phone Number: | 3374779292 |
| Fax Number: | 3374779268 |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 00644 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |