Jill Peterson, OTR/L

NPI #1134654478 in Moscow, Idaho

Provider Information

NPI Number
1134654478
Entity Type
Individual
Name
Jill Peterson, OTR/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
OTR/L
Enumeration Date
Apr 24, 2017
Last Updated
Apr 24, 2017

Practice Location

Address
914 S JEFFERSON ST
Address 2
APT. 1
City
Moscow
State
Idaho
ZIP Code
83843-3163
Phone
(701) 430-4013

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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