Individual
DANIEL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1300 ALVERSER PLAZA, MIDLOTHIAN, VA 23113
(804) 378-9968
(804) 378-8870
Mailing address
1300 ALVERSER PLAZA, MIDLOTHIAN, VA 23113
(804) 378-9968
(804) 378-8870
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209149
VA
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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