Individual
ZACHARY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 7TH ST NE, DEVILS LAKE, ND 58301-2719
(701) 662-2157
Mailing address
PO BOX 13780, GRAND FORKS, ND 58208-3780
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2338
ND
225100000X
Physical Therapist
PT-4998
HI
Other
Enumeration date
06/24/2020
Last updated
08/01/2024
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