Individual
BENJAMIN A PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8200 SENECA TPKE, CLINTON, NY 13323-1027
(315) 738-1671
(315) 738-0942
Mailing address
8200 SENECA TPKE, CLINTON, NY 13323-1027
(315) 738-1671
(315) 738-0942
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
051537
NY
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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