Gary, Joann Peterson

Gary, Joann Peterson is an individual health care provider with primary practice located at 606 Crestview Pl , West Lafayette IN 47906-2312. 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. Gary, Joann Peterson can be contacted via phone (765) 491-0247.

Contact Information

Primary practice address
606 Crestview Pl West Lafayette IN 47906-2312
Phone: (765) 491-0247
Fax: (765) 464-3586
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05006593A Indiana

Profile Details

NPI number 1992979827
LBN Legal business name Gary, Joann Peterson
Credentials MS,PT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Apr 22nd, 2008 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992979827 NPPES
Indiana MEDICAID 200650720

Popular Providers