Individual
KERSEY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
9089 CLAIREMONT MESA BLVD, SUITE 200, SAN DIEGO, CA 92123-1234
(800) 787-6787
Mailing address
9089 CLAIREMONT MESA BLVD, SUITE 200, SAN DIEGO, CA 92123-1234
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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