Individual
MATTHEW PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1211 UNION AVE, SUITE 195, MEMPHIS, TN 38104-6638
(901) 759-3280
Mailing address
1211 UNION AVE, SUITE 195, MEMPHIS, TN 38104-6638
(901) 759-3280
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9954
TN
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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