Individual provider · Type 1 NPI

George Justin Petersen, DPT

Geriatric Physical Therapist · San Diego, CA

NPI number 1144767468 Active

Practice location

3064 Fried Ave
San Diego, CA 92122-2235

Specialties and licenses

TaxonomyCodeLicense
Geriatric Physical Therapist Primary 2251G0304X36323 (CA)

Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…

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About NPI 1144767468

George Justin Petersen, DPT's National Provider Identifier is 1144767468, issued on Jan 24, 2017. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in San Diego, CA. The record was last updated on Jan 24, 2017.