Individual
NATHAN REGINALD PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(815) 968-4400
Mailing address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(815) 968-4400
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070.029268
IL
2251P0200X
Pediatric Physical Therapist
3572
NV
2251P0200X
Pediatric Physical Therapist
PTL-0014913
CO
Other
Enumeration date
06/19/2017
Last updated
09/17/2025
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