Individual
KELLY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0870
SD
225X00000X
Occupational Therapist
Primary
104427
MN
Other
Enumeration date
02/12/2013
Last updated
06/06/2022
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