Individual
CARLY NICOLE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
516 176TH ST E, SPANAWAY, WA 98387-8335
(253) 683-6000
Mailing address
15825 SPYGLASS TRL, SAN ANTONIO, TX 78247-5673
(210) 602-7197
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60943567
WA
Other
Enumeration date
08/03/2019
Last updated
08/03/2019
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