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NPI Code Detail

MEDICARE: DR. ARTHUR PETERSON PT, PHD, DPT, CGS

MEDICARE:  DR. ARTHUR  PETERSON  PT, PHD, DPT, CGS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT8041FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1K1469OTHERFLMEDICARE GROUP NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306874821
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARTHUR PETERSON PT, PHD, DPT, CGS
Provider Business Mailing Address
First Line : 5912 OKEECHOBEE BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-4324
Country : US
Telephone Number : 561-697-8800
Fax Number : 561-697-3372
Provider Business Practice Location Address
First Line : 5912 OKEECHOBEE BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-4324
Country : US
Telephone Number : 561-697-8800
Fax Number : 561-697-3372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 07/09/2007

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