Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRIAN CARL PETERSON, P.T.A.
Active Sole ProprietorMR. BRIAN CARL PETERSON, P.T.A. is a Occupational Therapist healthcare provider located in ALBERTVILLE, Minnesota. NPI 1194984070 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · ALBERTVILLE, MN
Registration Details
- NPI Number
- 1194984070
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2008 (18.2309951719 yrs)
- Last Updated
- Jun 5, 2008
- License
-
A327 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10439 64TH LN NEALBERTVILLE, MN, 553013533Browse MN providers · Browse ZIP 55301
- Phone
- 7632454115
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.