National Provider Identifier

Kimberly Ann Peterson, COTA

Kimberly Ann Peterson, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Hornell, NY and a listed phone number of (607) 324-8000.

NPI 1770816639Hornell, NYOccupational Therapy Assistant

Profile Overview

NPI
1770816639
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
September 10, 2009
Last Updated
September 10, 2009

Practice Location

  • 411 Canisteo St
  • Hornell, NY 14843-2104

Phone: (607) 324-8000

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1770816639
Entity Type
Individual
Last Name
Peterson
First Name
Kimberly
Middle Name
Ann
Credential
COTA
Mailing Street Address
411 Canisteo St
Mailing City
Hornell
Mailing State
NY
Mailing ZIP Code
14843-2104
Mailing Country
US
Mailing Phone
(607) 324-8000
Practice Street Address
411 Canisteo St
Practice City
Hornell
Practice State
NY
Practice ZIP Code
14843-2104
Practice Country
US
Practice Phone
(607) 324-8000
Enumeration Date
September 10, 2009
Last Updated
September 10, 2009
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)