Jordan B Peterson, PT

NPI #1114538170 in Bemidji, Minnesota

Provider Information

NPI Number: 1114538170
Entity Type: Individual
Name: Jordan B Peterson, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 13, 2020
Last Updated: Aug 13, 2020

Practice Location

Address: 3835 SUPREME CT NW STE 2
City: Bemidji
State: Minnesota
ZIP Code: 56601-4485
Phone: (218) 444-8280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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