NPI 1003062001

Michael Carl Peterson, PT

Practitioner Physical Therapist Jamestown, NY

Practice location

Address: 2850 Mitchell Rd, Jamestown, NY 14701-8906
Phone: (716) 487-1713

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 016040-1 (NY)

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Registry record

NPI: 1003062001
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2008
Record last updated: 7 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.