Individual
DAVID A PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
8678
CO
225100000X
Physical Therapist
Primary
PTL.0008678
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016867
KAISER-COMMERCIAL NUMBER
—
05
—
73774847
—
CO
Enumeration date
03/07/2007
Last updated
06/24/2019
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