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

MRS. REBECCA A PETERSEN, ATC

Active Sole Proprietor

MRS. REBECCA A PETERSEN, ATC is a Athletic Trainer healthcare provider located in STAMFORD, Connecticut. NPI 1366543977 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · STAMFORD, CT

Registration Details

NPI Number
1366543977
Provider Type
Individual
Gender
Female
NPI Issued
Sep 26, 2006 (19.846623818347 yrs)
Last Updated
Nov 15, 2013
Licenses
000664-1 (NY)
919 (CT)
Sole Proprietor
Yes

Practice Information

Address
1 BLACHLEY RD
2ND FLOOR, ORTHOPEDIC AND SPINE INSTITUTE
STAMFORD, CT, 069020001
Browse CT providers · Browse ZIP 06902
Phone
2032768495
Fax
2032762282
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in STAMFORD, CT

Name Credential NPI
MR. JASON CHRISTOPHER BOUTON MS A.T.,C 1023008836
MR. DANIEL JOHN KARDOS ATC, LAT 1871733568
KRISTOFFER JACOB FRIEND M.S., ATC/L 1528355781
ASHLEIGH C GAUVAIN MED, ATC/L 1487912986
LARRY HECK LAT, ATC 1124477260
MICHAEL SCHLICHTIG ATC, LAT 1811417983
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.