Individual
KAITLYN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3835 SUPREME CT NW STE 2, BEMIDJI, MN 56601-4485
(218) 444-8280
Mailing address
3835 SUPREME CT NW STE 2, BEMIDJI, MN 56601-4485
(218) 444-8280
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6171
MN
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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