Individual
JEFFREY BERNARD PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3510 AVENUE B, SCOTTSBLUFF, NE 69361-4333
(308) 633-7878
Mailing address
3100 OLYMPUS BLVD STE 500, COPPELL, TX 75019-5473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2024020512
MO
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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