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

BENNET PETERSEN, MS, OTR/L

Active

BENNET PETERSEN, MS, OTR/L is a Occupational Therapist healthcare provider located in KENOSHA, Wisconsin. NPI 1700166295 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · KENOSHA, WI

Registration Details

NPI Number
1700166295
Provider Type
Individual
Gender
Male
NPI Issued
Aug 28, 2011 (14.935142873658 yrs)
Last Updated
Jun 5, 2020
License
6674-26 (WI)

Practice Information

Address
10222 74TH ST STE 211
KENOSHA, WI, 531426810
Browse WI providers · Browse ZIP 53142
Phone
2629255020
Fax
2629255021
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in KENOSHA, WI

Name Credential NPI
JAMES P MECHAM MS, OTRIL 1992730386
NICOLE M IWANOWSKI OTR/L, CLT 1295844603
CHRISTIE LEZON OTRL 1316016736
JENNIFER L KEGLEY OTR 1528115839
TRACY L SPILKER OTR 1386792679
EMILY J KRON OTR 1952458283
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.