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Contact Information

ANDREW PETERSEN
5204 W. COLONIAL DRIVE
WINTER GARDEN, FL34787
 Phone: 407-877-2394
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for ANDREW PETERSEN · (Male)

NPI # 1629551395
Status Active
Credentials
Entity Individual
Enumeration date 09/10/2018
Last updated 09/10/2018 - About 8 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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