EVAN J PETERSEN

FORT SAM HOUSTON, TX
NPI1609867548
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: SC  3803)
Enumeration Date2005-10-31
Last Update Date2007-07-08
Business Address
Mr. EVAN J PETERSEN PT, OCS, ATC, CSCS
3851 ROGER BROOKE DR BLDG 3600
FORT SAM HOUSTON, TX 78234-4501
Phone number: 210-916-1920
Mailing Address
Mr. EVAN J PETERSEN PT, OCS, ATC, CSCS
4601 RED ROCK PASS
SCHERTZ, TX 78154-1123
Phone number: 210-455-3687
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