Most Relevant Information
Provider Data
| NPI Number: | 1003410465 |
| Provider Name: | MELISSA SHERIDAN PETERS PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 299495 |
Most Important Dates
| Enumeration Date: | 11/25/2020 |
| Last Updated: | 11/25/2020 |
Provider Practice Location
415 N CRESCENT DR STE 130
BEVERLY HILLS
CA
902106816
Practice Location Phone/Fax
| Phone: | 3102730877 |
| Fax: |
Provider Mailing Location
4335 VINELAND AVE APT 310
NORTH HOLLYWOOD
CA
916022199
Provider Mailing Phone/Fax
| Phone: | 4845476676 |
| Fax: |