Individual provider · Type 1 NPI

Constance V. Peterson, PT

Pediatric Physical Therapist · Kingston, TN

NPI number 1851323067 Active

Practice location

187 Gallaher Rd
Kingston, TN 37763-4721

Call (865) 376-4620 Map

Fax (865) 376-1759

Mailing address

211 Center Park Drive, Suite 3060
Knoxville, TN 37922

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X1095 (TN)

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 1851323067

Constance V. Peterson, PT's National Provider Identifier is 1851323067, issued on Jul 7, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Kingston, TN. The record was last updated on Jul 8, 2007.