Individual
MRS. KATHRYN SCHULZ PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.O.T., OTR/L
Contact information
Practice address
1122 SW 5TH ST, BOCA RATON, FL 33486-4518
(561) 395-2924
Mailing address
1122 SW 5TH ST, BOCA RATON, FL 33486-4518
(561) 395-2924
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT8750
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
885750400
—
FL
Enumeration date
09/04/2006
Last updated
10/08/2010
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