Individual
JENELE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
88 ROWLAND WAY, SUITE 250, NOVATO, CA 94945-5042
(415) 898-1311
(415) 897-0741
Mailing address
PO BOX 950, NOVATO, CA 94948-0950
(415) 898-1311
(415) 897-0741
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT291875
CA
Other
Enumeration date
08/22/2016
Last updated
11/23/2016
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