Individual
STEPHANIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
491 E 8TH AVE, HOMESTEAD, PA 15120-1901
(866) 419-1693
Mailing address
491 E 8TH AVE, HOMESTEAD, PA 15120-1901
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007464
PA
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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