Individual
LAURA JANE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11 KELLER RD, PIKESVILLE, MD 21208-1308
(410) 415-5260
(410) 415-5261
Mailing address
11 KELLER RD, PIKESVILLE, MD 21208-1308
(410) 415-5260
(410) 415-5261
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
A00758
MD
225XE1200X
Ergonomics Occupational Therapist
A00758
MD
225XH1200X
Hand Occupational Therapist
A00758
MD
225XP0200X
Pediatric Occupational Therapist
Primary
A00758
MD
Other
Enumeration date
02/06/2007
Last updated
09/11/2025
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