Russel Peterson

NPI #1063444933 in Snowflake, Arizona

Provider Information

NPI Number
1063444933
Entity Type
Individual
Name
Russel Peterson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Enumeration Date
Jul 7, 2006
Last Updated
Oct 24, 2007

Practice Location

Address
420 S MAIN ST
State
Arizona
ZIP Code
85937-5246
Phone
(928) 536-2357

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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