Individual
MS. HEIDI PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5412 US HIGHWAY 10 E, STEVENS POINT, WI 54482-8559
(715) 346-5243
(715) 346-5419
Mailing address
5412 US HIGHWAY 10 E, STEVENS POINT, WI 54482-8559
(715) 346-5243
(715) 346-5419
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5403-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5403-26
WI STATE LICENSE
WI
Enumeration date
11/01/2013
Last updated
11/01/2013
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