Michail Peterson, OTD, OTR/L

NPI #1992316509 in Ankeny, Iowa

Provider Information

NPI Number: 1992316509
Entity Type: Individual
Name: Michail Peterson, OTD, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTD, OTR/L
Enumeration Date: Aug 17, 2020
Last Updated: Aug 17, 2020

Practice Location

Address: 2455 SW STATE ST
City: Ankeny
State: Iowa
ZIP Code: 50023-1277
Phone: (515) 963-4528

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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