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Contact Information

BRETT W PETERSEN, PT
5805 NEAL AVE N
OAK PARK HEIGHTS, MN55082-2177
 Phone: 651-439-8807
 Fax: 651-439-0232
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Clinical Exercise Physiologist

224Y00000X
Indicates primary specialty

NPI Profile & details for BRETT W PETERSEN · (Male)

NPI # 1295008761
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 02/14/2012
Last updated 03/25/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 8649
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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