Individual
SUZANNE R PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
116 VALLEY VIEW CIR, PHOENIXVILLE, PA 19460-3185
(610) 935-8333
Mailing address
116 VALLEY VIEW CIR, PHOENIXVILLE, PA 19460-3185
(610) 935-8333
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OP000217R
PA
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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