Individual
MR. IVAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
336 FAIRGROUNDS RD, HAMILTON, MT 59840-3126
(406) 375-0980
(406) 375-9938
Mailing address
336 FAIRGROUNDS RD, HAMILTON, MT 59840-3126
(406) 375-0980
(406) 375-9938
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-9294
MT
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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