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Henry Petersen
NPI 1346781275 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5829 Kenwood Ave
Dallas, TX 75206 - Phone
- (818) 746-6505
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Also registered as
- Athletic Trainer
- Sex
- Male
- Record last updated
- 2017-03-11
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 Texas