Mr. Peter J. Stack, MSPT
Mr. Peter J. Stack, MSPT is a Pediatric Physical Therapist in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2012.
- Licensed in
- RI
- In the registry since
- 2012
Practice location Address checks out
134 Thurbers AveProvidence, RI 02905-4754
Phone: (401) 331-1350
Fax: (401) 277-3366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Physical Therapist (primary) | Taxonomy 2251P0200X · Licence PT00331 (RI) |
|---|
Record details
| NPI number | 1528318631 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MSPT |
| Sole proprietor | No |
| NPI enumerated | September 17, 2012 |
| Last updated in NPPES | September 11, 2013 |
| Mailing address | Po Box 6688, Providence, RI 02940-6688 |
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