Individual
KATHRYN AMANDA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2332 LIBERTY DR, CORALVILLE, IA 52241-2771
(319) 545-7390
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IA
Other
Enumeration date
12/28/2017
Last updated
04/09/2025
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