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Contact Information

KATHLEEN A PETERSON, OTR/L
1821 GROVE ST
MARYSVILLE, WA98270
 Phone: 360-659-3926
 Fax: 360-658-0555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KATHLEEN A PETERSON · (Female)

NPI Number 1669723797
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 09/28/2012
Last updated 09/28/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WA License # OT00001277
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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