Individual
TERRY PELOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
6414 E LIMITS RD, VESPER, WI 54489-9437
(715) 540-0014
Mailing address
6414 E LIMITS RD, VESPER, WI 54489-9437
(715) 540-0014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6291
WI
225X00000X
Occupational Therapist
OT1757
HI
225X00000X
Occupational Therapist
OT19167
FL
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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