IndividualActive
Kelsey Peterson, OTD, OTR/L
NPI 1144913021 · Neurorehabilitation Occupational Therapist · Los Angeles, CA
Provider details
- NPI number
- 1144913021
- Entity type
- Individual
- Primary specialty
- Neurorehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTD, OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 18000 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1540 Alcazar St Ste 133
Los Angeles, CA 90089-1029
Phone: (323) 442-2850
Approximate (ZIP-level) locationGet directions
Mailing address
1540 Alcazar St Ste 133
Los Angeles, CA 90089-1029
Registry dates
- Enumerated
- 2023-05-29
- Last updated
- 2023-05-29
- Certified
- 2023-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.