Mark Petersen, PT,DPT,OCS,ATC

NPI #1295181097 in Platte, South Dakota

Provider Information

NPI Number: 1295181097
Entity Type: Individual
Name: Mark Petersen, PT,DPT,OCS,ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT,DPT,OCS,ATC
Enumeration Date: May 11, 2016
Last Updated: May 11, 2016

Practice Location

Address: 601 E 7TH ST
City: Platte
State: South Dakota
ZIP Code: 57369-2123
Phone: (605) 337-3364

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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