Individual
JEREMY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4901 LAC DE VILLE BLVD # D-110, ROCHESTER, NY 14618-5647
(585) 341-9150
Mailing address
4901 LAC DE VILLE BLVD # D-110, ROCHESTER, NY 14618-5647
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
032669
NY
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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