Individual
CASEY J. PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
16820 BARKER SPRINGS RD STE E500, HOUSTON, TX 77084-5040
(281) 492-2799
(281) 492-7479
Mailing address
PO BOX 218418, HOUSTON, TX 77218-8418
(281) 492-2799
(281) 492-7479
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
ATP85047
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ATP85047
ASSISTIVE TECHNOLOGY PROFESSIONAL
TX
Enumeration date
08/23/2022
Last updated
08/23/2022
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