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Samuel Brandt Peterson, OT, MOT

Occupational Therapist in Harrisonville, MO. Individual provider (NPI-1).

NPI number1376090118
StatusActive
Last updated in NPPESJun 18, 2021

Details

NPI
1376090118
Entity type
Individual (NPI-1)
Name
Samuel Brandt Peterson
Credential
OT, MOT
Sex
Male
Sole proprietor
No
Enumeration date
Sep 9, 2016
Certification date
Jun 18, 2021
Last updated
Jun 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist2021023073MOYes
225X00000X Occupational Therapist363945–
225X00000X Occupational Therapist16730CA

Practice location

678 S Commercial St
Harrisonville, MO 64701-1653

Phone 816-380-3325 · Fax 816-380-3044

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Phone 423-238-7217

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Other Occupational Therapist providers in Harrisonville, MO

All 10 Occupational Therapist providers in Harrisonville · All 399 providers in Harrisonville

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