Individual provider · Type 1 NPI

Kimberly B. Peterson, PTA

Physical Therapy Assistant · Baltimore, MD

NPI number 1639290711 Active

Practice location

707 N Broadway
Baltimore, MD 21205-1832

Mailing address

2931 E Biddle St
Baltimore, MD 21213-3939

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA1837 (MD)

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 1639290711

Kimberly B. Peterson, PTA's National Provider Identifier is 1639290711, issued on Apr 3, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Baltimore, MD. The record was last updated on Jul 8, 2007.