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1013450907
KELLY ROSE PETERSON
HUNTINGTON BEACH, CA
NPI
1013450907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT292307)
Enumeration Date
2016-11-23
Last Update Date
2022-03-02
Business Address
KELLY ROSE PETERSON DPT
18800 DELAWARE ST STE 350
HUNTINGTON BEACH, CA 92648-6084
Phone number: 714-848-8318
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Mailing Address
KELLY ROSE PETERSON DPT
18800 DELAWARE ST STE 350
HUNTINGTON BEACH, CA 92648-6084
Phone number: 714-848-8318
Copy
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