Donna Kay Conkli Petersen in Redwood City - Pediatrics
Donna Kay Conkli Petersen - NPI 1629279971
Donna Kay Conkli Petersen is a Pediatrics in Redwood City, California. Donna Kay Conkli Petersen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Donna Kay Conkli Petersen is 1629279971. The last update date is 2022-02-11.
Donna Kay Conkli Petersen's current location address is 106 Danbury Ln, Redwood City, California. You can contact this provider via phone number 6505680408. The mailing address for Donna Kay Conkli Petersen is 106 Danbury Ln, Redwood City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donna Kay Conkli Petersen |
|---|---|
| Address | 106 Danbury Ln, Redwood City, California |
| Phone Number | 6505680408 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MPT |
NPI Number Detail
| NPI Number | 1629279971 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2022-02-11 |
Provider Mailing Address Detail
| Address | 106 Danbury Ln |
|---|---|
| City | Redwood City |
| State | California (CA) |
| Post Code | 940613695 |
| Phone Number | 6505680408 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | PT15697 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique 10-digit identification code issued to Donna Kay Conkli Petersen by the Centers for Medicare & Medicaid Services?
The Donna Kay Conkli Petersen has been assigned the NPI (National Provider Identifier) 1629279971 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Donna Kay Conkli Petersen located?
The Donna Kay Conkli Petersen is located at 106 Danbury Ln, Redwood City, CA 940613695.
What is the area of specialization for Donna Kay Conkli Petersen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Donna Kay Conkli Petersen is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629279971 to Donna Kay Conkli Petersen?
The Centers for Medicare & Medicaid Services originally issued the 1629279971 to Donna Kay Conkli Petersen on 2007-05-31.
When was the information pertaining to Donna Kay Conkli Petersen most recently updated or revised?
The details related to Donna Kay Conkli Petersen, including its address, specialty, and other relevant information, were last updated or revised on 2022-02-11.