Greg Edward Petersen P.T.

NPI 1013013176 - Physical Therapist - 225100000X

NPI Details
NPI 1013013176
Gender Male
Enumeration Date 09/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3878 W CARSON ST
SUITE 100
TORRANCE CA, 90503-6707, US
Phone (310) 543-4655
Fax (310) 543-1743
Business Location
3878 W CARSON ST
SUITE 100
TORRANCE CA, 90503-6707, US
Phone (310) 543-4655
Fax (310) 543-1743
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT 20757
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According to our database, Greg Edward Petersen P.T. NPI is 1013013176, taxonomy code is 225100000X and license number is PT 20757, license state is located at California. Greg Edward Petersen P.T. physically located at 3878 W Carson St, Torrance CA, 90503-6707. NPI Number Greg Edward Petersen P.T. has the Individual type.

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1013013176 NPI number is provided on an as is basis without warranty of any kind. 1013013176 is maintained by the National Plan & Provider Enumeration System. The contents of Greg Edward Petersen P.T. are for informational purposes only.