Individual
DANIEL P PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MS
Contact information
Practice address
12729 E WASHINGTON RD STE 2, REESE, MI 48757-9722
(877) 690-9096
(877) 690-9097
Mailing address
12 KINGSLEY CT, FRANKENMUTH, MI 48734-1270
(989) 992-1671
(877) 690-9097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005682
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4362563
—
MI
Enumeration date
06/08/2006
Last updated
10/01/2016
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