Individual
DR. ALEXANDER PAUL PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, SCS, ATC
Contact information
Practice address
5087 BROADWAY STE 100, DEPEW, NY 14043-4013
(716) 354-3212
Mailing address
PO BOX 763, BUFFALO, NY 14231-0763
(716) 202-2477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
046346
NY
225100000X
Physical Therapist
1345441
TX
2251S0007X
Sports Physical Therapist
—
—
2255A2300X
Athletic Trainer
003454
NY
2255A2300X
Athletic Trainer
8778
TX
Other
Enumeration date
09/06/2017
Last updated
12/27/2023
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