Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology |
NPI | 1619380706 |
---|---|
Provider Name | Mrs. Defne Zeynep Peterson |
First Address | Richmond, CA 94801-3143 |
Second Address | Richmond, CA 94801-3143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2014 |
Last Update Date | 30/12/2021 |