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Mrs. Mary Ann Peterson, PT
Pediatric Physical Therapist in Virginia Beach, Virginia
NPI 1942429873

Mary Ann Peterson is a Pediatric Physical Therapist based in Virginia Beach, VA and is specialized in Pediatrics. Mary Ann Peterson practices in Virginia Beach, VA and has the professional credentials of PT. The NPI Number for Mary Ann Peterson is 1942429873 and holds a License No. 2305002139 (Virginia).

The current practice location address for Mary Ann Peterson is 2117 General Booth Blvd, Virginia Beach, VA and can be reached out via phone at 757-430-8739.

Location: 2117 General Booth Blvd, Virginia Beach, VA, 23452-5911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942429873
Provider Name
Mary Ann Peterson
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
2117 General Booth Blvd, Virginia Beach, VA, 23452-5911
Phone Number
757-430-8739
Fax Number
Provider Enumeration Date
04/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2305002139 01 VA STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
2117 General Booth Blvd
City
Virginia Beach
State
Virginia
Zip
23454-5803
Phone Number
757-430-8739
Fax Number
person
Provider Business Mailing Address Details
Address
2117 General Booth Blvd
City
Virginia Beach
State
Virginia
Zip
23454-5803
Phone Number
757-430-8739
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
2305002139 (Virginia)
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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