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DANIEL P PETERSON PT, MS

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1780624387

Individual Registrant:
 DANIEL P PETERSON PT, MS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
12729 E WASHINGTON RD STE 2  REESE, MI 48757-9722 US
Tel: 877-690-9096  Fax: 877-690-9097

Contact information for business:
12 KINGSLEY CT  FRANKENMUTH, MI 48734-1270 US
Tel: 989-992-1671  Fax: 877-690-9097

Registration Information:
NPI: 1780624387
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
MI5501005682

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
4362563MI05




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