Individual
MRS. AMY KATHRYN PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
5209 BALBOA DR, VIRGINIA BEACH, VA 23464-2610
(757) 406-6199
Mailing address
5209 BALBOA DR, VIRGINIA BEACH, VA 23464-2610
(757) 406-6199
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000197
VA
Other
Enumeration date
01/02/2007
Last updated
09/07/2010
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