Peterson, Jerick Richard

Peterson, Jerick Richard is an sole proprietor health care provider with primary practice located at 1220 Huntington Dr , Duarte CA 91010-2477. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Peterson, Jerick Richard can be contacted via phone (626) 359-6618.

Contact Information

Primary practice address
1220 Huntington Dr Duarte CA 91010-2477
Phone: (626) 359-6618
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA48839 California

Profile Details

NPI number 1033756614
LBN Legal business name Peterson, Jerick Richard
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2019
Last updated Dec 3rd, 2019 - about 6 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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