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MRS. MARY ANN PETERSON PT NPI 1942429873


NPI Information

NPI: 1942429873
Provider Name: MRS. MARY ANN PETERSON, PT
Classification: Physical Therapist - 2251P0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
2117 GENERAL BOOTH BLVD
VIRGINIA BEACH, VA
ZIP 23454
Phone: (757) 430-8739
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MRS. Mary Ann Peterson, PT is a pediatrics physical therapist in Virginia Beach, VA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. MRS. Mary Ann Peterson, PT NPI is 1942429873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2117 GENERAL BOOTH BLVD
VIRGINIA BEACH, VA
ZIP 23454-803
Phone: (757) 430-8739

The enumeration date for this NPI number is 4/25/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251P0200XPhysical TherapistPediatrics2305002139VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12305002139OTHERVIRGINIASTATE LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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