Search › Florida › Prosthetist
Dale Petersen, CP
NPI 1184827693 · on the registry since 2007
Practice
- Address
- 4299 3rd Ave
Marianna, FL 32446 - Phone
- (850) 526-0063
- Fax
- (850) 526-1317
- Organisation at this address
- Vital Prosthetics, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Prosthetist
224P00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-03-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida