Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gary Mark Petersen, OTD, OTR/L

Individual provider Occupational Therapist · NPI 1760771109

Gary Mark Petersen, OTD, OTR/L is an Occupational Therapist in Long Beach, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

249 E Ocean Blvd Ste 440
Long Beach, CA 90802-4806
Phone: (888) 808-7838
Fax: (866) 620-3943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 10906 (CA)

Record details

NPI number1760771109
Entity typeIndividual (Type 1)
GenderMale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedApril 6, 2011
Last updated in NPPESApril 6, 2011

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