Peterson, Debra E

Peterson, Debra E is an individual health care provider with primary practice located at 8415 Wann Dr , Madison AL 35758-9534. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Peterson, Debra E can be contacted via phone (256) 704-1700.

Contact Information

Primary practice address
8415 Wann Dr Madison AL 35758-9534
Phone: (256) 704-1700
Fax: (256) 704-1701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PTH4283 Alabama

Profile Details

NPI number 1073510327
LBN Legal business name Peterson, Debra E
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jun 20th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073510327 NPPES
Alabama MEDICAID 529917620
Alabama Other 1003819608

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