Individual
CAROL JEAN PELTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4447
Mailing address
2830 DORMAN AVE, MINNEAPOLIS, MN 55406-1836
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101325
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101325
STATE LICENSE NUMBER
MN
Enumeration date
12/09/2008
Last updated
12/09/2008
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