Ivan Peterson, DPT Valid NPI

Individual provider · Physical Therapist · Hamilton, MT

NPI

1013391168

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

PTP-PT-LIC-9294 (MT)

Sex

Male

Sole proprietor

No

Enumerated

2015-07-17

Last updated

2015-07-17