Individual
DARRON PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, MED
Contact information
Practice address
6341 S. CALISTA DR., WASILLA, AK 99654
(907) 373-0280
Mailing address
PO BOX 879613, WASILLA, AK 99687-9613
(907) 373-0280
(907) 373-0280
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1518
AK
225100000X
Physical Therapist
32803
CA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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