Individual
DREW D PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
1100 4TH AVE E, MOBRIDGE, SD 57601-1404
(605) 848-7201
Mailing address
1100 4TH AVE E, MOBRIDGE, SD 57601-1404
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1751
SD
Other
Enumeration date
11/03/2017
Last updated
03/17/2018
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