Jackalyn Nicole Peterson, DPT

Practice location

Address

9860 Fairfax Blvd Suite 1, Fairfax, VA 22030-1737

Phone

(703) 383-1616

Fax

(703) 383-1166

Registered specialties

Registry record

NPI

1013241769

Entity type

Individual

Sex (as registered)

Female

NPI issued

29 Sep 2009

Record last updated

14 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.