Individual
ARIEL D PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
962 MANOR RD, STATEN ISLAND, NY 10314-7011
(718) 982-5994
(718) 494-2724
Mailing address
77 HOBART AVE, BAYONNE, NJ 07002-4207
(201) 988-3023
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13950
FL
Other
Enumeration date
01/07/2011
Last updated
11/10/2011
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