Individual
MARK PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT,OCS,ATC
Contact information
Practice address
601 E 7TH ST, PLATTE, SD 57369-2123
(605) 337-3364
(605) 337-2670
Mailing address
601 E 7TH ST, PLATTE, SD 57369-2123
(605) 337-3364
(605) 337-2670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1185
SD
225100000X
Physical Therapist
8730
MN
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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