Individual
JENNIFER PETERSON POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
OT16235
FL
225XP0200X
Pediatric Occupational Therapist
OT16239
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT16239
LICENSE NUMBER
FL
Enumeration date
08/13/2009
Last updated
02/22/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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