Individual provider · Type 1 NPI

Amanda Ward Petersen, PTA

Physical Therapy Assistant · Kinston, NC

NPI number 1215186192 Active

Practice location

1610 N Queen St
Kinston, NC 28501-2947

Fax (252) 522-3298

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3854 (NC)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1215186192

Amanda Ward Petersen, PTA's National Provider Identifier is 1215186192, issued on Sep 16, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Kinston, NC. The record was last updated on Sep 16, 2008.