Doreen Nicosia Peterson, OTR/L

NPI #1316260409 in Newtown Square, Pennsylvania

Provider Information

NPI Number: 1316260409
Entity Type: Individual
Name: Doreen Nicosia Peterson, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Mar 4, 2010
Last Updated: Mar 4, 2010

Practice Location

Address: 100 MEDIA LINE RD
City: Newtown Square
State: Pennsylvania
ZIP Code: 19073-4602
Phone: (610) 356-7355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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