Individual
MICHAEL D PESEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1269
SD
225100000X
Physical Therapist
6317
MN
Other
Enumeration date
09/21/2005
Last updated
07/08/2007
Update your record
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