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Contact Information

GEORGE J PETERSEN, DPT
3064 FRIED AVE
SAN DIEGO, CA92122-2235
 Phone: 858-405-2855
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for GEORGE J PETERSEN · (Male)

NPI # 1144767468
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 01/24/2017
Last updated 01/24/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 36323
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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