Individual provider · Type 1 NPI

Stephanie Ann Petersen, PTA

Physical Therapy Assistant · Kingsland, GA

NPI number 1578833711 Active

Practice location

100 Lindsey Ln # A
Kingsland, GA 31548-6850

Fax (912) 729-5259

Mailing address

PO Box 949
Rome, GA 30162-0949

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA002706 (GA)

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 1578833711

Stephanie Ann Petersen, PTA's National Provider Identifier is 1578833711, issued on Jan 5, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Kingsland, GA. The record was last updated on Jan 5, 2012.