Individual
MRS. SHARON DENISE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 727-7800
Mailing address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 727-7800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1337
NM
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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