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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY ROSE PETERSON, DPT

Active Sole Proprietor

KELLY ROSE PETERSON, DPT is a Physical Therapy Assistant healthcare provider located in HUNTINGTON BEACH, California. NPI 1013450907 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · HUNTINGTON BEACH, CA

Registration Details

NPI Number
1013450907
Provider Type
Individual
Gender
Female
NPI Issued
Nov 23, 2016 (9.7368298979561 yrs)
Last Updated
Mar 2, 2022
License
PT292307 (CA)
Sole Proprietor
Yes

Practice Information

Address
18800 DELAWARE ST STE 350
HUNTINGTON BEACH, CA, 926486084
Browse CA providers · Browse ZIP 92648
Phone
7148488318
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in HUNTINGTON BEACH, CA

Name Credential NPI
DEAN KENJI TAKIGUCHI PT 1316948458
CHRISTIE DIANE KARLE PHYSICAL THERAPIST 1225013303
ROBERT S OHASHI PT 1669457750
SUZANNE JOYCE ROH-FREEMAN PT 1922083013
EUGENE J. PETERSON PT 1508838962
LEE ALLEN PERKINS PT 1770531709
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.