Individual
ALEXANDRA RAE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
30 BROAD ST, NEW YORK, NY 10004-2304
(646) 790-7454
Mailing address
102 MADISON AVE FL 8, NEW YORK, NY 10016-7584
(212) 759-2282
(212) 379-2123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
055426
NY
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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