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1295211878
DANIEL PETERSON
ST PETERSBURG, FL
NPI
1295211878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT31824)
Enumeration Date
2018-07-17
Last Update Date
2021-12-10
Business Address
DANIEL PETERSON
2600 DR MLK JR STREET N STE 200B
ST PETERSBURG, FL 33704-2744
Phone number: 727-202-4625
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Mailing Address
DANIEL PETERSON
21756 STATE ROAD 54 STE 102
LUTZ, FL 33549-2905
Phone number: 440-475-5540
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