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1811543895
KEVIN NICHOLAS PETERSON
IRVINE, CA
NPI
1811543895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: CA 297167)
Enumeration Date
2019-08-14
Last Update Date
2023-11-27
Business Address
KEVIN NICHOLAS PETERSON PT, DPT
980 ROOSEVELT STE 100
IRVINE, CA 92620-3670
Phone number: 949-333-6400
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Mailing Address
KEVIN NICHOLAS PETERSON PT, DPT
2412 E ATHENS AVE
ORANGE, CA 92867-4408
Phone number: 661-713-4584
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