NPI 1164963278

Travis Petersen, BOCPCOA

Practitioner Prosthetist Greenville, NC

Practice location

Address: 835 Johns Hopkins Dr Suite B, Greenville, NC 27834-7268
Phone: (252) 752-7422
Fax: (252) 752-5424

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence C52140

Other Prosthetist providers in North Carolina →

Registry record

NPI: 1164963278
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Mar 2017
Record last updated: 9 Mar 2017

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.