Olivia Peterson, RSA

NPI #1679203517 in Waterloo, Illinois

Provider Information

NPI Number: 1679203517
Entity Type: Individual
Name: Olivia Peterson, RSA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Rehabilitation Practitioner
Credential: RSA
Enumeration Date: Jun 14, 2022
Last Updated: Jun 14, 2022

Practice Location

Address: 988 N ILLINOIS ROUTE 3
City: Waterloo
State: Illinois
ZIP Code: 62298-1059
Phone: (618) 939-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Practitioner	225400000X	Primary

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