Individual
PATRICIA FAY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1705 SE BROADWAY AVE, ALBERT LEA, MN 56007-3265
(507) 668-2907
(507) 668-2912
Mailing address
1705 SE BROADWAY AVE, ALBERT LEA, MN 56007-3265
(507) 668-2907
(507) 668-2912
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101132
MN
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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