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Contact Information

DOMINIC PETERSON, RKT
3701 LOOP RD
TUSCALOOSA VAMC
TUSCALOOSA, AL35404-5015
 Phone: 205-554-2822
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Kinesiotherapist

226300000X
Indicates primary specialty

NPI Profile & details for DOMINIC PETERSON · (Male)

NPI # 1972938009
Status Active
Credentials RKT
Entity Individual
Enumeration date 09/09/2013
Last updated 09/09/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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