Individual
DR. BRANDON PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-1600
Mailing address
2140 KUHIO AVE APT 2204, HONOLULU, HI 96815-2313
(808) 222-3116
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
840
HI
225X00000X
Occupational Therapist
Primary
OT-840
HI
Other
Enumeration date
04/03/2008
Last updated
03/05/2024
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