Individual provider · Type 1 NPI

Kimberly A. Peterson, OT

Occupational Therapist · Davis, CA

NPI number 1104336668 Active

Practice location

1340 Lake Blvd
Davis, CA 95616-5673

Call (530) 753-5338 Map

Fax (530) 753-4609

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT17912 (CA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1104336668

Kimberly A. Peterson, OT's National Provider Identifier is 1104336668, issued on Oct 10, 2017. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Davis, CA. The record was last updated on Aug 30, 2023.