Individual provider · Type 1 NPI

Bennet Petersen, MS, OTR/L

Occupational Therapist · Kenosha, WI

NPI number 1700166295 Active

Practice location

10222 74th St Ste 211
Kenosha, WI 53142-6810

Call (262) 925-5020 Map

Fax (262) 925-5021

Mailing address

3921 30th Ave Ste C
Kenosha, WI 53144-1957

Other practice locations

  • 3506 Jordan Ln, North Las Vegas, NV 89032-0516 · (847) 380-0896

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X6674-26 (WI)

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…

7 other providers at this address

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About NPI 1700166295

Bennet Petersen, MS, OTR/L's National Provider Identifier is 1700166295, issued on Aug 28, 2011. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Kenosha, WI. The record was last updated on Jun 5, 2020.