NPI 1366543977

Rebecca a Petersen, ATC

Practitioner Athletic Trainer Stamford, CT

Practice location

Address: 1 Blachley Rd 2nd Floor, Orthopedic and Spine Institute, Stamford, CT 06902-0001
Phone: (203) 276-8495
Fax: (203) 276-2282

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 919 (CT)

Other Specialist/Technologist providers in Connecticut →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 000664-1 (NY)

Registry record

NPI: 1366543977
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2006
Record last updated: 15 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.