Individual
MRS. TERRI ANN PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR, CMLDT
Contact information
Practice address
3366 OAKDALE AVE N, SUITE 312, ROBBINSDALE, MN 55422-2948
(763) 521-3256
(763) 521-2040
Mailing address
8548 EDISON ST NE, BLAINE, MN 55449-5627
(763) 717-4941
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102708
MN
Other
Enumeration date
03/16/2006
Last updated
07/08/2007
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