Individual
MR. SCOTT ALLEN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8765 BLUE PINE WAY, RENO, NV 89523-3843
(775) 233-4139
Mailing address
8765 BLUE PINE WAY, RENO, NV 89523-3843
(775) 233-4139
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0510
NV
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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