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Individual
DR. JESSE ROBERT PETERSON
Active
Individual
DR. JESSE ROBERT PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0018220
CO
225100000X
Physical Therapist
Primary
PT-8322
ID
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
1408526
TX
Other
Enumeration date
02/17/2022
Last updated
07/27/2026
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