Individual
CLAIRE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 W 63RD ST, WESTMONT, IL 60559-2910
(877) 407-3422
Mailing address
188A MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 406-0576
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2023026073
MO
Other
Enumeration date
07/06/2023
Last updated
01/30/2025
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