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Individual
DR. MATTHEW MICHAEL PETTERSEN
Active
Individual
DR. MATTHEW MICHAEL PETTERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CFMT, FAAOMPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013223
CT
225100000X
Physical Therapist
Primary
046739
NY
Other
Enumeration date
01/11/2021
Last updated
06/19/2026
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