Individual
PARPIM PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E MAIN ST, ALICE, TX 78332-4969
(361) 396-4029
Mailing address
400 E MAIN ST, ALICE, TX 78332-4969
(361) 396-6487
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214920
TX
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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