Individual provider · Type 1 NPI
Dale Edmund Petersen Jr., CP
Prosthetist · Marianna, FL
Practice location
4299 3rd Ave
Marianna, FL 32446-2136
Fax (850) 526-1317
Mailing address
PO Box 430
Marianna, FL 32447-0430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetist Primary | 224P00000X | PRO66 (FL) |
Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Another provider at this address
About NPI 1184827693
Dale Edmund Petersen Jr., CP's National Provider Identifier is 1184827693, issued on Jun 11, 2007. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Marianna, FL. The record was last updated on Mar 28, 2008.