Individual
DR. KELSEY SENA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1540 ALCAZAR ST STE 133, LOS ANGELES, CA 90089-1029
(323) 442-2850
Mailing address
1540 ALCAZAR ST STE 133, LOS ANGELES, CA 90089-1029
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
18000
CA
225XP0019X
Physical Rehabilitation Occupational Therapist
18000
CA
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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