Individual provider · Type 1 NPI

Ben Peterson

Specialist · San Jose, CA

NPI number 1972381432 Active

Practice location

1185 Berkshire Dr
San Jose, CA 95125-4258

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1972381432

Ben Peterson's National Provider Identifier is 1972381432, issued on Sep 18, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Jose, CA. The record was last updated on Oct 25, 2023.