Michael Carl Peterson, P.T. Valid NPI
Individual provider · Physical Therapist · Jamestown, NY
- NPI
- 1003062001
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 016040-1 (NY)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2008-08-11
- Last updated
- 2010-01-07
Practice location
2850 Mitchell Rd
Jamestown, NY 14701-8906
(716) 487-1713