Peter Stafford, P.T.
Physical Therapist in Crown Point, IN. Individual provider (NPI-1).
NPI number1962436675
StatusActive
Last updated in NPPESDec 18, 2007
Details
- NPI
- 1962436675
- Entity type
- Individual (NPI-1)
- Name
- Peter Stafford
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2006
- Last updated
- Dec 18, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 05006990A | IN | Yes |
Practice location
11450 BroadwayCrown Point, IN 46307-7106
Phone 219-488-0157 · Fax 219-661-2502
Mailing address
11450 BroadwayCrown Point, IN 46307-7106
Phone 219-488-0157 · Fax 219-661-2502
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All 94 Physical Therapist providers in Crown Point · All 1,805 providers in Crown Point
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