Individual
ARIANNA MIELKE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
435 4TH ST, TROY, NY 12180-5324
(518) 271-6777
Mailing address
435 4TH ST, TROY, NY 12180-5324
(518) 271-6777
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022304
NY
Other
Enumeration date
03/14/2018
Last updated
08/12/2024
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