Individual
DANIEL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 DR MLK JR STREET N, STE 200B, ST PETERSBURG, FL 33704-2744
(727) 202-4625
Mailing address
21756 STATE ROAD 54 STE 102, LUTZ, FL 33549-2905
(440) 475-5540
(844) 927-4950
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT31824
FL
Other
Enumeration date
07/17/2018
Last updated
12/10/2021
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