Individual
ANNE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
200 NW WARD RD, LEES SUMMIT, MO 64063-1849
(816) 986-1350
Mailing address
134 GRAND PRAIRIE CIR, LAKE WINNEBAGO, MO 64034-7813
(816) 728-9994
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2024006749
MO
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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