MR. Brian Carl Peterson, P.T.A.
NPI #1194984070 in Albertville, Minnesota
Provider Information
- NPI Number
- 1194984070
- Entity Type
- Individual
- Name
- MR. Brian Carl Peterson, P.T.A.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- P.T.A.
- Enumeration Date
- Jun 5, 2008
- Last Updated
- Jun 5, 2008
Practice Location
- Address
- 10439 64TH LN NE
- City
- Albertville
- State
- Minnesota
- ZIP Code
- 55301-3533
- Phone
- (763) 245-4115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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