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Individual

EMMA GRACE PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7117 TUSSING RD, REYNOLDSBURG, OH 43068-4108
(614) 834-2600
Mailing address
5550 PEACHTREE PKWY STE 500, PEACHTREE CORNERS, GA 30092-2555
(800) 849-5502
(770) 908-2203

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008726
OH

Other

Enumeration date
04/22/2026
Last updated
04/22/2026
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