MRS. Amanda Ward Petersen, PTA
NPI #1215186192 in Kinston, North Carolina
Provider Information
- NPI Number
- 1215186192
- Entity Type
- Individual
- Name
- MRS. Amanda Ward Petersen, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Sep 16, 2008
- Last Updated
- Sep 16, 2008
Practice Location
- Address
- 1610 N QUEEN ST
- City
- Kinston
- State
- North Carolina
- ZIP Code
- 28501-2947
- Phone
- (252) 522-1960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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