Individual
AIMEE CATHERINE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
19114 KANAWHA DR, CORNELIUS, NC 28031-9394
(832) 451-0660
(980) 206-0111
Mailing address
19114 KANAWHA DR, CORNELIUS, NC 28031-9394
(832) 451-0660
(980) 206-0111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
102825
MN
225X00000X
Occupational Therapist
Primary
3388
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055588600
—
MN
05
—
1952444101
—
NC
01
—
6403492
MEDICA
MN
01
—
961S7KE
BCBS
MN
01
—
HP42429
HEALTH PARTNERS
MN
Enumeration date
02/15/2007
Last updated
05/03/2024
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