Petersen, Susan

Petersen, Susan is an sole proprietor health care provider with primary practice located at 2012 Phalarope Ct , Costa Mesa CA 92626-4734. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Petersen, Susan can be contacted via phone (714) 580-2868.

Contact Information

Primary practice address
2012 Phalarope Ct Costa Mesa CA 92626-4734
Phone: (714) 580-2868
Fax: (714) 241-1007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 18793 California

Profile Details

NPI number 1235508581
LBN Legal business name Petersen, Susan
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2015
Last updated Sep 16th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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