Dale Edmund Petersen Jr., CP
Dale Edmund Petersen Jr., CP is a Prosthetist in Marianna, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
Practice location Address checks out
4299 3rd AveMarianna, FL 32446-2136
Phone: (850) 526-0063
Fax: (850) 526-1317
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X · Licence PRO66 (FL) |
|---|
Record details
| NPI number | 1184827693 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CP |
| Sole proprietor | No |
| NPI enumerated | June 11, 2007 |
| Last updated in NPPES | March 28, 2008 |