Individual
CAROLYN PATRICIA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1423 MAGNOLIA ST APT D, GULFPORT, MS 39507-3569
(228) 256-6015
Mailing address
1200 CORPORATE DR STE 300, HOOVER, AL 35242-2944
(423) 777-6236
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.012890
IL
225X00000X
Occupational Therapist
Primary
OT-4111
MS
Other
Enumeration date
06/12/2022
Last updated
04/22/2024
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