Individual
MRS. KIMBERLY ANNE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
510 LINCOLN DR, SOUTHERN ORTHOPEDIC ASSOCIATES SC, HERRIN, IL 62948-6334
(618) 997-6800
(618) 998-9124
Mailing address
510 LINCOLN DR, SOUTHERN ORTHOPEDIC ASSOCIATES SC, HERRIN, IL 62948-6334
(618) 997-6800
(618) 998-9124
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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