Individual
MR. BRETT MICHAEL PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3805 FIELD ST, ERIE, PA 16511-2825
(814) 898-5600
(814) 899-9829
Mailing address
11432 SCOTLAND AVE, NORTH EAST, PA 16428-3143
(814) 725-0287
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC004839L
PA
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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