Individual
JARED L PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2530 BROADWAY AVE N, ROCHESTER, MN 55906-4594
(507) 259-7570
(888) 624-3107
Mailing address
2530 BROADWAY AVE N, ROCHESTER, MN 55906-1042
(507) 259-7570
(888) 624-3107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10801-024
WI
225100000X
Physical Therapist
Primary
7495
MN
Other
Enumeration date
04/10/2009
Last updated
12/14/2017
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