Doctor Name: | ANDREW PAUL PETERSON |
NPI Number: | 1063695377 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 9826-24 |
Business Practice Address: | 600 Highland Ave Compliance Mail Code 2433 Madison, WI - 537920001 |
Business Phone Number: | 6086620817 |
Business Fax Number: | |
Mailing Address: | 2615 Meadowview Dr, JANESVILLE |
State: | WI |
Postal Code: | 535464380 |
Phone Number: | 6085631530 |
Fax Number: | |
NPI Enumeration Date: | 12/10/2007 |
NPI Last Update Date: | 01/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9826-24 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |