Individual provider · Type 1 NPI
Lorene Mae Peterson, OTR
Neurorehabilitation Occupational Therapist · Fargo, ND
NPI number
1407970726
Active
Practice location
1720 University Dr S
Fargo, ND 58103-4940
Mailing address
4519 3rd St S
Moorhead, MN 56560-6729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurorehabilitation Occupational Therapist Primary | 225XN1300X | 288 (ND) |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 101750 (MN) |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 3838 (AZ) |
Neurorehabilitation Occupational Therapist: Definition to come...
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About NPI 1407970726
Lorene Mae Peterson, OTR's National Provider Identifier is 1407970726, issued on Mar 19, 2007. The primary taxonomy on file is Neurorehabilitation Occupational Therapist (225XN1300X), and the practice location is in Fargo, ND. The record was last updated on Jul 8, 2007.