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Individual
JAMES W PETERSON
Active
Individual
JAMES W PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
018910-1
NY
225X00000X
Occupational Therapist
OC012981
PA
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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