Mrs. Tara Jean Petersen, PTA
Mrs. Tara Jean Petersen, PTA is a Physical Therapy Assistant in Lyons, New York. Licensed in New York. Registered with an NPI since 2008.
- Licensed in
- NY
- In the registry since
- 2008
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
1529 Nye RdLyons, NY 14489-9111
Phone: (315) 946-5673
Fax: (315) 946-5880
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 003290-1 (NY) |
|---|
Record details
| NPI number | 1366695843 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PTA |
| Sole proprietor | No |
| NPI enumerated | October 29, 2008 |
| Last updated in NPPES | October 29, 2008 |