Individual
VICKIE MARIE HART-PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11900 JESSICA LN, RAYTOWN, MO 64138-2649
(816) 358-7858
Mailing address
11900 JESSICA LN, RAYTOWN, MO 64138-2649
(816) 358-7858
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005130
MO
Other
Enumeration date
07/20/2007
Last updated
05/25/2010
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