Petersen, Brett William

Petersen, Brett William is an individual health care provider with primary practice located at 5805 Neal Ave N , Oak Park Heights MN 55082-2177. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Petersen, Brett William can be contacted via phone (651) 439-8807.

Contact Information

Primary practice address
5805 Neal Ave N Oak Park Heights MN 55082-2177
Phone: (651) 439-8807
Fax: (651) 439-0232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist 224Y00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 8649 Minnesota

Profile Details

NPI number 1295008761
LBN Legal business name Petersen, Brett William
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2012
Last updated Mar 25th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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