Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 046346 | NY |
Y | 225100000X | Physical Therapist | 1345441 | TX |
N | 2251S0007X | Physical Therapist - Sports | 1345441 | TX |
NPI | 1043738446 |
---|---|
Provider Name | Alexander Paul Peters |
First Address | Houston, TX 77030-2399 |
Second Address | Houston, TX 77030-2399 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2017 |
Last Update Date | 02/01/2022 |