Individual
MR. LOUIS E PETERS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., OTR/L
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
9214 EMINENCE CT, PROSPECT, KY 40059-7602
(502) 419-1195
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
BOTOCT00223257
KY
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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