MR. Shane Michael Peterson, D.P.T.
NPI #1336445535 in Forest Grove, Oregon
Provider Information
- NPI Number
- 1336445535
- Entity Type
- Individual
- Name
- MR. Shane Michael Peterson, D.P.T.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- D.P.T.
- Enumeration Date
- Feb 4, 2011
- Last Updated
- Feb 4, 2011
Practice Location
- Address
- 3300 19TH AVENUE
- City
- Forest Grove
- State
- Oregon
- ZIP Code
- 97116
- Phone
- (503) 357-7119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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