MR. Mark Peterson, PT

NPI #1316205487 in Erwin, Tennessee

Provider Information

NPI Number: 1316205487
Entity Type: Individual
Name: MR. Mark Peterson, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 26, 2012
Last Updated: Apr 26, 2012

Practice Location

Address: 800 S MOHAWK DR
Address 2: SUITE D
City: Erwin
State: Tennessee
ZIP Code: 37650-2124
Phone: (423) 743-1245

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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