Mr. Peter J. Stack, MSPT - Providence, RI

Mr. Peter J. Stack, MSPT

Pediatric Physical Therapist in Providence, Rhode Island

NPI 1528318631

Peter J. Stack is a Pediatric Physical Therapist based in Providence, RI and is specialized in Pediatrics. Peter J. Stack practices in Providence, RI and has the professional credentials of MSPT. The NPI Number for Peter J. Stack is 1528318631 and holds a License No. PT00331 (Rhode Island).

The current practice location address for Peter J. Stack is 134 Thurbers Ave, Providence, RI and can be reached out via phone at 401-331-1350 and via fax at 401-277-3366.

Location: 134 Thurbers Ave, Providence, RI, 02940-6688

NPI Number

1528318631

Provider Name

Peter J. Stack

Credential

MSPT

Provider Entity Type

Individual

Gender

Male

Address

134 Thurbers Ave, Providence, RI, 02940-6688

Phone Number

401-331-1350

Fax Number

401-277-3366

Provider Enumeration Date

09/17/2012

Last Update Date

03/09/2024

Address

134 Thurbers Ave

City

Providence

State

Rhode Island

Zip

02905-4754

Phone Number

401-331-1350

Fax Number

401-277-3366

Address

134 Thurbers Ave

City

Providence

State

Rhode Island

Zip

02905-4754

Phone Number

401-331-1350

Fax Number

401-277-3366

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Physical Therapist

Speciality

Pediatrics

Taxonomy

2251P0200X

License No.

PT00331 (Rhode Island)

Definition

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.

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