Individual
TAYLOR PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
806 N WASHINGTON ST, BISMARCK, ND 58501-3623
(701) 323-4029
Mailing address
806 N WASHINGTON ST, BISMARCK, ND 58501-3623
(701) 323-4029
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1888
ND
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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