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Individual
MR. WAYNE E PETEREIT
Active
Individual
MR. WAYNE E PETEREIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-004624
IL
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070004624
LICENSED PHYSICAL THERAPI
IL
Enumeration date
05/22/2007
Last updated
02/09/2016
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