Individual
MRS. KATHLEEN ANN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1821 GROVE ST, MARYSVILLE, WA 98270
(360) 659-3926
(360) 658-0555
Mailing address
1821 GROVE ST, MARYSVILLE, WA 98270
(360) 659-3926
(360) 658-0555
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001277
WA
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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