Individual
KELLY RENEE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1200 N 7TH ST, CHARITON, IA 50049-1210
(641) 774-3000
(641) 774-3207
Mailing address
1200 N 7TH ST, CHARITON, IA 50049-1210
(641) 774-3000
(641) 774-3207
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01298
IA
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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