Individual
MISS ANDREA LYN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3452 HICKORY LN, DEER PARK, TX 77536-5051
(281) 433-0657
Mailing address
3452 HICKORY LN, DEER PARK, TX 77536-5051
(281) 433-0657
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207521
TX
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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