Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THEODORE WILLIAM PETERSON, O.T.R.
ActiveMR. THEODORE WILLIAM PETERSON, O.T.R. is a Occupational Therapist healthcare provider located in POCATELLO, Idaho. NPI 1558434928 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · POCATELLO, ID
Registration Details
- NPI Number
- 1558434928
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2006 (19.603099607488 yrs)
- Last Updated
- Aug 18, 2008
- Licenses
-
00800 (IA)OT-886 (ID)
Practice Information
- Address
-
IDAHO STATE UNIVERSITYCAMPUS BOX 8045POCATELLO, ID, 832090001Browse ID providers · Browse ZIP 83209
- Phone
- 2082824631
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| BARBARA K PETERSON | OCCUPT. THERAPIST | 1265490080 |
| MS. MARY A. SCHMIDT | OTR/L | 1417960899 |
| JANICE JEAN | MOTR/L,CHT | 1578775037 |
| MRS. LORIANN HELGESON | OTRL | 1922219161 |
| PATRICE CHAMBERS | OTR/L | 1497954671 |
| DR. AARON M. EAKMAN | PH.D. | 1922284892 |
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.