Individual ProviderDawn E PetersonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7225 University Ave NE, Fridley, MN 55432-3134(763) 236-2150PECOS EnrollmentBased on the most recent information from CMS, provider Dawn E Peterson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1063540532Provider TypeIndividualFull NamePeterson, Dawn ECredentialPTGenderFemaleSole ProprietorNoEnumeration Date2/28/2007Last Updated12/31/2008Contact InformationPractice LocationPractice Address7225 University Ave NE, Fridley, MN 55432-3134Phone(763) 236-2150FaxUnlisted FaxMailing LocationMailing Address6425 Lakota Trl, Lino Lakes, MN 55014-7006PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense8070MinnesotaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense10571-024Wisconsin