Individual provider · Type 1 NPI
Donna Kay Conkling Petersen, MPT
Pediatric Physical Therapist · Redwood City, CA
Practice location
106 Danbury Ln
Redwood City, CA 94061-3695
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | PT15697 (CA) |
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…
About NPI 1629279971
Donna Kay Conkling Petersen, MPT's National Provider Identifier is 1629279971, issued on May 31, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Redwood City, CA. The record was last updated on Feb 11, 2022.