Individual
RICHARD O PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4341 PIEDMONT AVE STE 201, OAKLAND, CA 94611-4792
(510) 547-1630
(510) 923-1944
Mailing address
4341 PIEDMONT AVE STE 201, OAKLAND, CA 94611-4792
(510) 547-1630
(510) 923-1944
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT40307
CA
Other
Enumeration date
08/14/2013
Last updated
02/10/2016
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