DR. Jacob Petersen, DPT
NPI #1811440274 in Pinole, California
Provider Information
- NPI Number
- 1811440274
- Entity Type
- Individual
- Name
- DR. Jacob Petersen, DPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Medicine & Rehabilitation
- Credential
- DPT
- Enumeration Date
- Aug 2, 2016
- Last Updated
- Aug 2, 2016
Practice Location
- Address
- 2160 APPIAN WAY
- Address 2
- SUITE 101
- City
- Pinole
- State
- California
- ZIP Code
- 94564-2576
- Phone
- (510) 724-1248
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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