Individual
RANDEE MOLL PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
601 S 8TH ST, TACOMA, WA 98405-4614
(253) 571-1010
Mailing address
601 S 8TH ST, TACOMA, WA 98405-4614
(253) 571-1010
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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