Individual
JEREMY THOMAS PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
104A HUFFMAN MILL RD, BURLINGTON, NC 27215-5113
(336) 270-3611
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P16865
NC
Other
Enumeration date
02/07/2017
Last updated
06/05/2019
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