Individual
STEVEN LEE PEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
202 MARTINDALE LN, RIPLEY, MS 38663-1355
(662) 993-9105
Mailing address
82 CHURCH ST, ECRU, MS 38841-9785
(662) 790-3559
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3795
MS
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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