Individual
THERESE PETTERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
775 E WILLETTA ST, PHOENIX, AZ 85006-2723
(480) 581-3900
Mailing address
1550 E CAMPBELL AVE APT 4016, PHOENIX, AZ 85014-4279
(602) 989-8096
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009304
AZ
Other
Enumeration date
12/19/2023
Last updated
01/05/2024
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