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Individual
DR. THOMAS PETERSEN
Active
Individual
DR. THOMAS PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11305354-2401
UT
225100000X
Physical Therapist
Primary
PT7042
ME
Other
Enumeration date
11/18/2019
Last updated
06/16/2026
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