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Individual

KRISTOPHER W PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
701 DEMERS AVE, GRAND FORKS, ND 58201-4506
(701) 277-8448
(701) 277-8668
Mailing address
6074 N DISCOVERY WAY, STE 110, BOISE, ID 83713-0210
(218) 233-3690
(218) 233-3973

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1740
ND

Other

Enumeration date
05/30/2013
Last updated
08/20/2019
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