DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MISS JACKALYN NICOLE PETERSON DPT

MEDICARE: MISS JACKALYN NICOLE PETERSON DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist2305206191VA

General Provider Information

NPI Number : 1013241769
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JACKALYN NICOLE PETERSON DPT
Provider Business Mailing Address
First Line : 9860 FAIRFAX BLVD
Second Line : SUITE 1
City : FAIRFAX
State : VA
Zip : 22030-1737
Country : US
Telephone Number : 703-383-1616
Fax Number : 703-383-1166
Provider Business Practice Location Address
First Line : 9860 FAIRFAX BLVD
Second Line : SUITE 1
City : FAIRFAX
State : VA
Zip : 22030-1737
Country : US
Telephone Number : 703-383-1616
Fax Number : 703-383-1166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2009
Last Update Date : 11/14/2016

Similar Medicare Providers

1851384853 — MRS. AMY ELIZABETH CAMPBELL MSPT
Practice Location Address:
9860 FAIRFAX BLVD , SUITE 1
FAIRFAX, VA
22030-1737
Practice Phone: 703-383-1616
Practice Fax: 703-383-1166
1942380332 — MR. DUNCAN WILLIAM GERHARD DPT
Practice Location Address:
9860 FAIRFAX BLVD , SUITE 1
FAIRFAX, VA
22030-1737
Practice Phone: 703-383-1616
Practice Fax: 703-383-1166
1851462493 — KAREN M GALLAGHER DPT
Practice Location Address:
9860 FAIRFAX BLVD , SUITE 1
FAIRFAX, VA
22030-1737
Practice Phone: 703-383-1616
Practice Fax: 703-383-1166
1427269430 — MRS. WANDA EDWARDS GROVE PT
Practice Location Address:
9860 FAIRFAX BLVD , SUITE 1
FAIRFAX, VA
22030-1737
Practice Phone: 703-383-1616
Practice Fax: 703-383-1166
1265682918 — MS. CHRISTINE PETERSON DPT
Practice Location Address:
9860 FAIRFAX BLVD , SUITE 1
FAIRFAX, VA
22030-1737
Practice Phone: 703-383-1616
Practice Fax: 703-383-1166
1356968820 — ELIZABETH LAURA GIBBEMEYER NP
Practice Location Address:
3700 JOSEPH SIEWICK DR STE 100
FAIRFAX, VA
22033-1737
Practice Phone: 571-665-6467
Practice Fax:

Directions to “ MISS JACKALYN NICOLE PETERSON DPT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.