Individual
CHRIS L PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
1439 E 23RD ST, CP PHYSICAL THERAPY, P.C., FREMONT, NE 68025-2433
(402) 727-1030
(402) 727-4215
Mailing address
1439 E 23RD ST, CP PHYSICAL THERAPY, P.C., FREMONT, NE 68025-2433
(402) 727-1030
(402) 727-4215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2589
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02393
BLUE CROSS BLUE SHIELD
NE
01
—
P00424755
RR MEDICARE
NE
Enumeration date
08/09/2007
Last updated
07/19/2016
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