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Individual

CINDY DUGGAN PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
248 LAKE TERRACE DR, HENDERSONVILLE, TN 37075-5122
(615) 573-5569
Mailing address
248 LAKE TERRACE DR, HENDERSONVILLE, TN 37075-5122
(615) 573-5569

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3466
TN

Other

Enumeration date
12/20/2020
Last updated
12/20/2020
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