Individual provider · Type 1 NPI
George Justin Petersen, DPT
Geriatric Physical Therapist · San Diego, CA
Practice location
3064 Fried Ave
San Diego, CA 92122-2235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Physical Therapist Primary | 2251G0304X | 36323 (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.