Individual provider · Type 1 NPI

Samuel Brandt Peterson, OT, MOT

Occupational Therapist · Harrisonville, MO

NPI number 1376090118 Active

Practice location

678 S Commercial St
Harrisonville, MO 64701-1653

Fax (816) 380-3044

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X363945
Occupational Therapist 225X00000X16730 (CA)
Occupational Therapist Primary 225X00000X2021023073 (MO)

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 1376090118

Samuel Brandt Peterson, OT, MOT's National Provider Identifier is 1376090118, issued on Sep 9, 2016. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Harrisonville, MO. The record was last updated on Jun 18, 2021.