Martin Peterson, COTA

NPI #1659531630 in Rawlins, Wyoming

Provider Information

NPI Number: 1659531630
Entity Type: Individual
Name: Martin Peterson, COTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: COTA
Enumeration Date: Jun 12, 2008
Last Updated: Jun 12, 2008

Practice Location

Address: 542 16TH ST
City: Rawlins
State: Wyoming
ZIP Code: 82301-5241
Phone: (307) 324-2759

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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