NPI 1801745153
Michelle Amber Peterson, CTRS
Practice location
- Address
- 3461 Civic Center Blvd, Philadelphia, PA 19104-4302
- Phone
- (215) 823-4507
- Mailing address
- 309 Summit Ave, Jenkintown, PA 19046-3135
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1801745153
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Jan 2026
- Record last updated
- 28 Jan 2026
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.