Individual
MR. EVAN J PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, OCS, ATC, CSCS
Contact information
Practice address
3851 ROGER BROOKE DR, BLDG 3600, FORT SAM HOUSTON, TX 78234-4501
(210) 916-1920
(210) 916-4074
Mailing address
4601 RED ROCK PASS, SCHERTZ, TX 78154-1123
(210) 455-3687
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
3803
SC
Other
Enumeration date
10/31/2005
Last updated
07/13/2026
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