Individual
DEIRDRE LYN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194
Mailing address
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
001655
CT
225X00000X
Occupational Therapist
01150
RI
225X00000X
Occupational Therapist
13474
FL
225X00000X
Occupational Therapist
Primary
OT-741
HI
Other
Enumeration date
06/03/2008
Last updated
10/25/2011
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