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Contact Information

BRIAN E PETERSON, LPTA
12139 S. WILLIAMS ST
DUNNELLON, FL34431
 Phone: 352-489-2500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for BRIAN E PETERSON · (Male)

NPI # 1316158777
Status Active
Credentials LPTA
Entity Individual
Enumeration date 05/25/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PTA 17956
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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