Rachelle Marie Peterson, MS, OTR/L
Occupational Therapist, Pediatrics in Centralia, WA. Individual provider (NPI-1).
NPI number1629554274
StatusActive
Last updated in NPPESJul 17, 2018
Details
- NPI
- 1629554274
- Entity type
- Individual (NPI-1)
- Name
- Rachelle Marie Peterson
- Credential
- MS, OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2018
- Last updated
- Jul 17, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | OT60151777 | WA | Yes |
Practice location
914 S Scheuber RdCentralia, WA 98531-9027
Phone 360-330-8720 · Fax 360-330-8737
Mailing address
914 S Scheuber RdCentralia, WA 98531-9027
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