Kaitlin Petersen, MOT, OTR/L
Occupational Therapist, Pediatrics in Saint Peters, MO. Individual provider (NPI-1).
NPI number1366038754
StatusActive
Last updated in NPPESDec 19, 2020
Details
- NPI
- 1366038754
- Entity type
- Individual (NPI-1)
- Name
- Kaitlin Petersen
- Credential
- MOT, OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2020
- Certification date
- Oct 30, 2020
- Last updated
- Dec 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | 2020035472 | MO | Yes |
Practice location
324 Jungermann RdSaint Peters, MO 63376-5350
Phone 636-928-5327
Mailing address
7201 Forsyth BlvdSaint Louis, MO 63105-2116
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All 20 Pediatric Occupational Therapist providers in Saint Peters · All 1,786 providers in Saint Peters
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