Individual
KERRY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 773-0883
Mailing address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 773-0883
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.011709
IL
Other
Enumeration date
10/14/2016
Last updated
06/12/2020
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