Individual
VON C PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1243 MCKINLEY AVE, ROCK SPRINGS, WY 82901-7422
(561) 859-9036
Mailing address
1243 MCKINLEY AVE, ROCK SPRINGS, WY 82901-7422
(561) 859-9036
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2463
CO
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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