IndividualActive
Glenn Peterson, PTA
NPI 1295083699 · Developmental Therapist · Brownsville, TX
Provider details
- NPI number
- 1295083699
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2088488 (TX)
Practice location
871 Old Alice Rd
Suite 600
Brownsville, TX 78520-8268
Phone: (615) 714-8177
Mailing address
871 Old Alice Rd
Brownsville, TX 78520-8268
Registry dates
- Enumerated
- 2012-08-16
- Last updated
- 2013-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.