Individual
ROBERT PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7105 W. 138TH AVE., CEDAR LAKE, IN 46303
(219) 916-3668
Mailing address
7105 W 138TH AVE, CEDAR LAKE, IN 46303-9644
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us