IndividualActive
Amanda Petersen, PTA
NPI 1215186192 · Physical Therapy Assistant · Kinston, NC
Provider details
- NPI number
- 1215186192
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 3854 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1610 N Queen St
Kinston, NC 28501-2947
Phone: (252) 522-1960
Fax: (252) 522-3298
Approximate (ZIP-level) locationGet directions
Mailing address
1610 N Queen St
Kinston, NC 28501-2947
Registry dates
- Enumerated
- 2008-09-16
- Last updated
- 2008-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.