Bruce E Peterson, P.T.

NPI #1306844063 in Longview, Washington

Provider Information

NPI Number: 1306844063
Entity Type: Individual
Name: Bruce E Peterson, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jul 7, 2005
Last Updated: Jul 11, 2007

Practice Location

Address: 625 9TH AVENUE
Address 2: SUITE 220
City: Longview
State: Washington
ZIP Code: 98632-2544
Phone: (360) 578-1188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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