Individual
KATHLEEN PETTERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
197 S WILLARD ST, COTTONWOOD, AZ 86326-4123
(928) 634-5548
Mailing address
2100 W QUAIL SPRINGS RANCH RD, COTTONWOOD, AZ 86326-2888
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
1203
AZ
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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