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

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