Individual
MRS. MARI PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
112 SAINT OLAF AVE S, CANBY, MN 56220-1433
(507) 223-7277
Mailing address
112 SAINT OLAF AVE S, CANBY, MN 56220-1433
(507) 223-7277
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0618
SD
225X00000X
Occupational Therapist
Primary
103028
MN
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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