Organization
DIVERSA CARE THERAPEUTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL PATRICK PETERSON P.T. (OWNER)
(989) 992-1671
Entity
Organization
Contact information
Practice address
12 KINGSLEY CT, FRANKENMUTH, MI 48734-1270
(989) 992-1671
Mailing address
12 KINGSLEY CT, FRANKENMUTH, MI 48734-1270
(989) 992-1671
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005682
MI
Other
Enumeration date
03/20/2007
Last updated
10/19/2012
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