Individual
KEVIN SCOTT PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT/DPT
Contact information
Practice address
3160 8TH ST SW STE M&N, ALTOONA, IA 50009-1023
(515) 967-4580
(515) 967-4899
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
086047
IA
Other
Enumeration date
06/14/2017
Last updated
01/11/2019
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