Petersen, Rebecca A

Petersen, Rebecca A is an sole proprietor health care provider with primary practice located at 1 Blachley Rd 2Nd Floor, Orthopedic And Spine Institute, Stamford CT 06902-0001. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Petersen, Rebecca A can be contacted via phone (203) 276-8495.

Contact Information

Primary practice address
1 Blachley Rd 2Nd Floor, Orthopedic And Spine Institute Stamford CT 06902-0001
Phone: (203) 276-8495
Fax: (203) 276-2282
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 000664-1 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 919 Connecticut

Profile Details

NPI number 1366543977
LBN Legal business name Petersen, Rebecca A
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Nov 15th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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