Individual
DR. BEN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1185 BERKSHIRE DR, SAN JOSE, CA 95125-4258
(763) 300-8545
Mailing address
1185 BERKSHIRE DR, SAN JOSE, CA 95125-4258
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
09/18/2023
Last updated
10/25/2023
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