| Doctor Name: | MARY C PETERSON |
| NPI Number: | 1346216678 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 2051 |
| Business Practice Address: | 756 Ridge Lake Blvd Ste 205 Memphis, TN - 381209445 |
| Business Phone Number: | 9017582377 |
| Business Fax Number: | 9901758110 |
| Mailing Address: | 7464 Winchester Rd, Ste 103 MEMPHIS |
| State: | TN |
| Postal Code: | 381252205 |
| Phone Number: | 9017582377 |
| Fax Number: | 9901758110 |
| NPI Enumeration Date: | 02/27/2006 |
| NPI Last Update Date: | 06/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2051 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |