Individual provider · Type 1 NPI

Glenn Peterson, PTA

Developmental Therapist · Brownsville, TX

NPI number 1295083699 Active

Practice location

871 Old Alice Rd, Suite 600
Brownsville, TX 78520-8268

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000X2088488 (TX)

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

86 other providers at this address

About NPI 1295083699

Glenn Peterson, PTA's National Provider Identifier is 1295083699, issued on Aug 16, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Brownsville, TX. The record was last updated on Jul 23, 2013.