Individual
MS. BRANDYE ELIZABETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
109 PENNY RD, HIGH POINT, NC 27260-2500
(336) 821-6592
Mailing address
508 WOODLAWN AVE, GREENSBORO, NC 27401-1753
(336) 681-3869
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5350
NC
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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