Individual
RONDALE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7 THOMPSON ST, DUMONT, NJ 07628-3616
(845) 262-8978
Mailing address
7 THOMPSON ST, DUMONT, NJ 07628-3616
(845) 262-8978
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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