Doctor Name: | DANIEL P PETERSON |
NPI Number: | 1780624387 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT MS |
License Number: | 5501005682 |
Business Practice Address: | 4450 Fashion Square Blvd Saginaw, MI - 486031251 |
Business Phone Number: | 9894977848 |
Business Fax Number: | 9894978814 |
Mailing Address: | 12 Kingsley Ct, FRANKENMUTH |
State: | MI |
Postal Code: | 487341270 |
Phone Number: | 9899921671 |
Fax Number: | 9893935926 |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 07/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501005682 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |