Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 032669 | NY |
NPI | 1194028613 |
---|---|
Provider Name | Jeremy Peters |
First Address | Rochester, NY 14618-5647 |
Second Address | Rochester, NY 14618-5647 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2010 |
Last Update Date | 06/12/2010 |