Individual
DAVID MATTHEW PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1825 FORTVIEW RD STE 109, AUSTIN, TX 78704-7655
(512) 892-5250
Mailing address
1612 ASTOR PL, AUSTIN, TX 78721-1305
(512) 710-1427
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1407189
TX
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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