Deniece P Petersen, DPT

NPI #1083025571 in Broken Bow, Nebraska

Provider Information

NPI Number: 1083025571
Entity Type: Individual
Name: Deniece P Petersen, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: May 19, 2014
Last Updated: Apr 21, 2017

Practice Location

Address: 325 S 1ST AVE
City: Broken Bow
State: Nebraska
ZIP Code: 68822-0435
Phone: (308) 872-5111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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