Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Corriene Atup, BSPT

Individual provider Geriatric Physical Therapist · NPI 1215234133

Corriene Atup, BSPT is a Geriatric Physical Therapist in Petaluma, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
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Practice location Address checks out

1108 Ponderosa Dr
Petaluma, CA 94954-4348
Phone: (415) 420-9185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence PT29149 (CA)

Record details

NPI number1215234133
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSPT
Sole proprietorYes
NPI enumeratedFebruary 14, 2011
Last updated in NPPESFebruary 14, 2011
Mailing address1108 Ponderosa Dr, Petaluma, CA 94954-4348

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