Individual
JESSICA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTR/L
Contact information
Practice address
10224 KELLY RD, WAPAKONETA, OH 45895-9405
(419) 235-0561
Mailing address
10224 KELLY RD, WAPAKONETA, OH 45895-9405
(419) 235-0561
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07269
OH
Other
Enumeration date
01/24/2017
Last updated
04/20/2017
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