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Individual
MR. PETER EDWARD JERABECK
Active
Individual
MR. PETER EDWARD JERABECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1705
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014290
GROUP HEALTH INC
NY
01
—
160897
ELDERPLAN
NY
01
—
19868P
HIP
NY
01
—
4C2101
HEALTH NET
NY
01
—
OS165
OXFORD
NY
Enumeration date
12/29/2006
Last updated
07/08/2007
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