Individual
MOLLY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7505 COUNTRY CLUB DR, GOLDEN VALLEY, MN 55427-4501
(763) 450-6900
Mailing address
7505 COUNTRY CLUB DR, GOLDEN VALLEY, MN 55427-4501
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104459
MN
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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