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Individual

KATHERINE ANNE PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR

Contact information

Practice address
1405 W COUNTY LINE RD, GREENWOOD, IN 46142-5123
(317) 708-3400
Mailing address
1405 W COUNTY LINE RD, GREENWOOD, IN 46142-5123
(317) 708-3400

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008710A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31008710A
IN STATE LICENSE
IN
Enumeration date
04/01/2025
Last updated
05/27/2025
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