MR. THEODORE PETERSON, O.T.R.
Occupational Therapist
Active
Individual
NPI: 1558434928
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes | OT-886 (ID) |
Frequently Asked Questions
NPI 1558434928 is the National Provider Identifier for MR. THEODORE PETERSON, O.T.R., a Occupational Therapist provider located in Pocatello, ID. This NPI was enumerated on November 15, 2006.
MR. THEODORE PETERSON, O.T.R. practices at IDAHO STATE UNIVERSITY, CAMPUS BOX 8045, Pocatello, ID 83209.
Quick Facts
- NPI
- 1558434928
- Type
- Individual
- Enumerated
- Nov 15, 2006
- Last Updated
- Aug 18, 2008
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