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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY T. PETERSON, COTA/L

Active

MARY T. PETERSON, COTA/L is a Occupational Therapy Assistant healthcare provider located in TIONESTA, Pennsylvania. NPI 1073900643 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · TIONESTA, PA

Registration Details

NPI Number
1073900643
Provider Type
Individual
Gender
Female
NPI Issued
Apr 22, 2015 (11.349655955606 yrs)
Last Updated
Apr 22, 2015
License
OP002755L (PA)

Practice Information

Address
111 BRIDGE ST
TIONESTA, PA, 163539737
Browse PA providers · Browse ZIP 16353
Phone
8148278776
Fax
8148276345
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.