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Individual
KATIE PEAT
Active
Individual
KATIE PEAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001666A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200395180A
—
IN
01
—
200555
CSHS PROVIDER NUMBER
IN
Enumeration date
12/12/2006
Last updated
04/29/2014
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