Individual provider · Type 1 NPI

Jennifer A. Petersen, O.T.R.

Occupational Therapist · Rockford, IL

NPI number 1144649435 Active

Practice location

324 Roxbury Rd
Rockford, IL 61107-5090

Call (815) 381-7431 Map

Fax (815) 381-7498

Mailing address

Box 78534
Milwaukee, WI 53278

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000X057-002477 (IL)
Occupational Therapist Primary 225X00000X056-010596 (IL)

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 1144649435

Jennifer A. Petersen, O.T.R.'s National Provider Identifier is 1144649435, issued on Apr 15, 2014. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Rockford, IL. The record was last updated on Dec 11, 2014.