Individual provider · Type 1 NPI

Jordan Peterson

Pediatric Physical Therapist · San Diego, CA

NPI number 1124650171 Active

Practice location

9520 Padgett St
San Diego, CA 92126-4445

Mailing address

3544 Caminito El Rincon Unit 51
San Diego, CA 92130-2549

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Pediatric Physical Therapist Primary 2251P0200X306141 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1124650171

Jordan Peterson's National Provider Identifier is 1124650171, issued on Feb 7, 2020. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in San Diego, CA. The record was last updated on Nov 18, 2024.