Individual
DR. TAYLOR NICOLE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1857 S MILLENIUM WAY STE 120, MERIDIAN, ID 83642-1510
(208) 994-4873
Mailing address
1409 E FRANKLIN ST, BOISE, ID 83712-7405
(309) 696-6485
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3971942
ID
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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