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Contact Information

JARVARIUS PETERSON, PTA
10300 COURTHOUSE RD
CHESTERFIELD, VA23832
 Phone: 804-203-1991
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for JARVARIUS PETERSON · (Male)

NPI Number 1639716749
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 12/09/2019
Last updated 12/09/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 2306604599
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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