Individual provider · Type 1 NPI

Robert Petersen

Occupational Therapy Assistant · Cedar Lake, IN

NPI number 1356745327 Active

Practice location

7105 W. 138th Ave.
Cedar Lake, IN 46303

Mailing address

7105 W 138th Ave
Cedar Lake, IN 46303-9644

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XNone listed

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1356745327

Robert Petersen's National Provider Identifier is 1356745327, issued on Oct 20, 2014. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Cedar Lake, IN. The record was last updated on Oct 20, 2014.