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Jackalyn Peterson, DPT
NPI 1013241769 · on the registry since 2009
Practice
- Address
- 9860 Fairfax Blvd
Suite 1
Fairfax, VA 22030 - Phone
- (703) 383-1616
- Fax
- (703) 383-1166
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia