Individual
JENNIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 N NATIONAL AVE, BREMERTON, WA 98312-3537
(360) 479-0993
Mailing address
105 N NATIONAL AVE, BREMERTON, WA 98312-3537
(360) 479-0993
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60860094
WA
Other
Enumeration date
01/11/2017
Last updated
04/02/2025
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