Individual provider · Type 1 NPI
Debra Anne Mistretta, PT
Pediatric Physical Therapist · Beverly, MA
Practice location
111 Dodge St
Beverly, MA 01915-1827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 5848 (MA) |
Pediatric Physical Therapist: 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 th…
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About NPI 1104052075
Debra Anne Mistretta, PT's National Provider Identifier is 1104052075, issued on Jun 5, 2009. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Beverly, MA. The record was last updated on Jun 5, 2009.