Individual
KIMBERLY ANN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
411 CANISTEO ST, HORNELL, NY 14843-2104
(607) 324-8000
Mailing address
411 CANISTEO ST, HORNELL, NY 14843-2104
(607) 324-8000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006866-1
NY
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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