Peterson, Ty
Peterson, Ty is an individual health care provider with primary practice located at 2011 Harrison Ave , Panama City FL 32405-4545. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Peterson, Ty can be contacted via phone (850) 691-4188.Contact Information
Primary practice address
2011 Harrison Ave
Panama City FL 32405-4545
Phone: (850) 691-4188
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 30355 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT30355 | Florida |
Profile Details
NPI number | 1225406226 |
---|---|
LBN Legal business name | Peterson, Ty |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 8th, 2015 |
Last updated | May 30th, 2024 - about last year |
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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