Robert Petersen
NPI #1356745327 in Cedar Lake, Indiana
Provider Information
- NPI Number
- 1356745327
- Entity Type
- Individual
- Name
- Robert Petersen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Oct 20, 2014
- Last Updated
- Oct 20, 2014
Practice Location
- Address
- 7105 W. 138TH AVE.
- City
- Cedar Lake
- State
- Indiana
- ZIP Code
- 46303
- Phone
- (219) 916-3668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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