Individual
MR. JAMES EDWARD PETTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
13854 RIVERVIEW DRIVE NW, ELK RIVER, MN 55330-1626
(763) 232-0818
(763) 441-0487
Mailing address
13854 RIVERVIEW DRIVE NW, ELK RIVER, MN 55330-1626
(763) 232-0818
(763) 441-0487
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
4410
MN
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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