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Individual

MRS. ROBYN RENEE PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA L

Contact information

Practice address
2027 COLLEGE AVE, ELK HORN, IA 51531
(712) 764-4201
(712) 764-6200
Mailing address
307 W 9TH ST, ATLANTIC, IA 50022-2027
(712) 243-6794

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00345
IA

Other

Enumeration date
07/11/2007
Last updated
07/11/2007
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