Jerick Richard Peterson, PTA
NPI #1033756614 in Duarte, California
Provider Information
- NPI Number
- 1033756614
- Entity Type
- Individual
- Name
- Jerick Richard Peterson, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Dec 3, 2019
- Last Updated
- Dec 3, 2019
Practice Location
- Address
- 1220 HUNTINGTON DR
- City
- Duarte
- State
- California
- ZIP Code
- 91010-2477
- Phone
- (626) 359-6618
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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