Individual provider · Type 1 NPI

Ashley Lauren Petak, PT

Pediatric Physical Therapist · Rockville, MD

NPI number 1477837896 Active

Practice location

6208 Montrose Rd
Rockville, MD 20852-4119

Fax (301) 230-2127

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X23818 (MD)

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 1477837896

Ashley Lauren Petak, PT's National Provider Identifier is 1477837896, issued on Oct 4, 2011. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Rockville, MD. The record was last updated on Oct 4, 2011.