Individual
MRS. SHAWNA VI PETERSILIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2700 CANAL BLVD, HAYS, KS 67601-1702
(785) 625-7331
Mailing address
566 W 6TH ST, HOISINGTON, KS 67544-2021
(620) 786-1979
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00496
KS
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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