Individual
COURTNEY JEAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 PORTER DR, SAN RAMON, CA 94583-1588
(925) 743-3322
Mailing address
19832 ALANA RD, CASTRO VALLEY, CA 94546-4505
(510) 421-1335
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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