Individual
MR. JEFFREY PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT MOMT
Contact information
Practice address
1844 E BASELINE RD STE C5, TEMPE, AZ 85283-1506
(480) 833-1005
(480) 833-1312
Mailing address
1844 E BASELINE RD STE C5, TEMPE, AZ 85283-1506
(480) 833-1005
(480) 833-1312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1295
AZ
Other
Enumeration date
10/12/2006
Last updated
05/07/2020
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