Individual
LYNN PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
5757 WHITEFORD RD, SYLVANIA, OH 43560-1632
(419) 882-1875
Mailing address
5211 SANDRA DR, TOLEDO, OH 43613-2535
(419) 474-4206
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1021
OH
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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