MR. Peter J. Stack, MSPT
NPI #1528318631 in Providence, Rhode Island
Provider Information
- NPI Number
- 1528318631
- Entity Type
- Individual
- Name
- MR. Peter J. Stack, MSPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist - Pediatrics
- Credential
- MSPT
- Enumeration Date
- Sep 17, 2012
- Last Updated
- Sep 11, 2013
Practice Location
- Address
- 134 THURBERS AVE
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02905-4754
- Phone
- (401) 331-1350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Pediatrics — Pediatrics |
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