Kimberly D Peterson B.S. OTR/L

NPI 1710155239 - Occupational Therapist - 225XP0200X

NPI Details
NPI 1710155239
Gender Female
Enumeration Date 02/19/2008
Last Updated 02/19/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3022 CHISHOLM CT
WAXHAW NC, 28173-7865, US
Phone (704) 843-2020
Fax (704) 843-8384
Business Location
4100 EXBURY GARDENS DR
WAXHAW NC, 28173-6961, US
Phone (704) 256-4270
Fax
Toxanomy
Taxonomy Code 225XP0200X
License State North Carolina
License Number 6775
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According to our database, Kimberly D Peterson B.S. OTR/L NPI is 1710155239, taxonomy code is 225XP0200X and license number is 6775, license state is located at North Carolina. Kimberly D Peterson B.S. OTR/L physically located at 3022 Chisholm Ct, Waxhaw NC, 28173-7865. NPI Number Kimberly D Peterson B.S. OTR/L has the Individual type.

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1710155239 NPI number is provided on an as is basis without warranty of any kind. 1710155239 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly D Peterson B.S. OTR/L are for informational purposes only.