MR. Mark L Peterson, OTR

NPI #1578629341 in Ogema, Minnesota

Provider Information

NPI Number: 1578629341
Entity Type: Individual
Name: MR. Mark L Peterson, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Dec 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 40520 CO HWY 34
City: Ogema
State: Minnesota
ZIP Code: 56569
Phone: (218) 983-6385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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