Von C Petersen, P.T. Valid NPI

Individual provider · Physical Therapist · Rock Springs, WY

NPI

1194010819

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

2463 (CO)

Sex

Male

Sole proprietor

No

Enumerated

2011-06-10

Last updated

2011-06-10