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ALEXANDRA RAE PETERSEN, PT, DPT, CSCS

Active

ALEXANDRA RAE PETERSEN, PT, DPT, CSCS is a Physical Therapy Assistant healthcare provider located in NEW YORK, New York. NPI 1790645232 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · NEW YORK, NY

Registration Details

NPI Number
1790645232
Provider Type
Individual
Gender
Female
NPI Issued
Nov 17, 2025 (0.75632391618772 yrs)
Last Updated
Nov 17, 2025
License
055426 (NY)

Practice Information

Address
30 BROAD ST
NEW YORK, NY, 100042304
Browse NY providers · Browse ZIP 10004
Phone
6467907454
Primary Specialty
Physical Therapy Assistant
225100000X

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MR. GABRIEL D ETTENSON PT 1154323624
MRS. RENEE FISHWEICHER MSPT 1750383147
MARIE-NOELLE FALARDEAU PT 1093708703
MR. JOHN BENKE PT 1811980436
MR. JOSEPH TATTA PT 1972596500
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.