Michael Carl Peterson, P.T.
Physical Therapist in Jamestown, NY. Individual provider (NPI-1).
NPI number1003062001
StatusActive
Last updated in NPPESJan 7, 2010
Details
- NPI
- 1003062001
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Carl Peterson
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 11, 2008
- Last updated
- Jan 7, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 016040-1 | NY | Yes |
Practice location
2850 Mitchell RdJamestown, NY 14701-8906
Phone 716-487-1713
Mailing address
2850 Mitchell RdJamestown, NY 14701-8906
Phone 716-487-1713
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All 56 Physical Therapist providers in Jamestown · All 1,250 providers in Jamestown
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