Mary T. Peterson COTA/L

NPI 1073900643 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1073900643
Gender Female
Enumeration Date 04/22/2015
Last Updated 04/22/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
111 BRIDGE ST
TIONESTA PA, 16353-9737, US
Phone (814) 827-8776
Fax (814) 827-6345
Business Location
111 BRIDGE ST
TIONESTA PA, 16353-9737, US
Phone (814) 827-8776
Fax (814) 827-6345
Toxanomy
Taxonomy Code 224Z00000X
License State Pennsylvania
License Number OP002755L
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According to our database, Mary T. Peterson COTA/L NPI is 1073900643, taxonomy code is 224Z00000X and license number is OP002755L, license state is located at Pennsylvania. Mary T. Peterson COTA/L physically located at 111 Bridge St, Tionesta PA, 16353-9737. NPI Number Mary T. Peterson COTA/L has the Individual type.

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1073900643 NPI number is provided on an as is basis without warranty of any kind. 1073900643 is maintained by the National Plan & Provider Enumeration System. The contents of Mary T. Peterson COTA/L are for informational purposes only.