Individual
REBECCA LYNN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
WRIGHT CITY R-II SCHOOL DISTRICT, 402 NORTH SERVICE ROAD, WRIGHT CITY, MO 63390-0198
(636) 745-7405
(636) 745-3613
Mailing address
PO BOX 198, 402 NORTH SERVICE ROAD, WRIGHT CITY, MO 63390-0198
(636) 745-7405
(636) 745-3613
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004036184
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
464025402
—
MO
Enumeration date
03/12/2007
Last updated
02/20/2009
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