Male or Other

Mr. Douglas E. Peterman RPT

Physical Therapist in Hattiesburg, MS(View on Map)

Full Name

Mr. Douglas Earl Peterman RPT

NPI Number

1073721528

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/18/2007

Specialties

(Taxonomies)

Code

225100000X

Primary Taxonomy

Yes

Licenses

State

Mississippi

License Number

PT0932

Contact
Information

Purpose

Mailing
Location

Address

199 BROOKMOORE DRIVE
16 OFFICE PARK DR

City

Columbus
Hattiesburg

State

MS
MS

Postal Code

39705
39402-6020

Country

US
US

Telephone Number

(662) 327-6705
(601) 336-7155

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/14/2017

Provider Address

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