MISS Jackalyn Nicole Peterson, DPT

NPI #1013241769 in Fairfax, Virginia

Provider Information

NPI Number
1013241769
Entity Type
Individual
Name
MISS Jackalyn Nicole Peterson, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
DPT
Enumeration Date
Sep 29, 2009
Last Updated
Nov 14, 2016

Practice Location

Address
9860 FAIRFAX BLVD
Address 2
SUITE 1
ZIP Code
22030-1737
Phone
(703) 383-1616

Specialties & Taxonomy Codes

Specialty
Specialist

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