Individual
LORI PETTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CDMS
Contact information
Practice address
1400 E SOUTHERN AVE STE 310, TEMPE, AZ 85282-5695
(612) 280-7355
Mailing address
5488 S PARKCREST ST, GILBERT, AZ 85298-3413
(612) 280-7355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007509
AZ
225X00000X
Occupational Therapist
—
AZ
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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