Doctor Name: | PETER SEAN KELLEHER |
NPI Number: | 1205876331 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 30209 |
Business Practice Address: | 4700 Northgate Blvd Ste 120 Sacramento, CA - 958341148 |
Business Phone Number: | 9169234442 |
Business Fax Number: | 9169291511 |
Mailing Address: | 4700 Northgate Blvd Ste 120, SACRAMENTO |
State: | CA |
Postal Code: | 958341148 |
Phone Number: | 9169234442 |
Fax Number: | 9169291511 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 04/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 30209 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |