Von C Petersen, P.T.

NPI #1194010819 in Rock Springs, Wyoming

Provider Information

NPI Number: 1194010819
Entity Type: Individual
Name: Von C Petersen, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jun 10, 2011
Last Updated: Jun 10, 2011

Practice Location

Address: 1243 MCKINLEY AVE
City: Rock Springs
State: Wyoming
ZIP Code: 82901-7422
Phone: (561) 859-9036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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