Most Relevant Information
Provider Data
| NPI Number: | 1003062001 |
| Provider Name: | MICHAEL CARL PETERSON P.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 016040-1 |
Most Important Dates
| Enumeration Date: | 08/11/2008 |
| Last Updated: | 01/07/2010 |
Provider Practice Location
2850 MITCHELL RD
JAMESTOWN
NY
147018906
Practice Location Phone/Fax
| Phone: | 7164871713 |
| Fax: |
Provider Mailing Location
2850 MITCHELL RD
JAMESTOWN
NY
147018906
Provider Mailing Phone/Fax
| Phone: | 7164871713 |
| Fax: |