National Provider Identifier

James W Peterson

James W Peterson is listed in the NPPES registry with a primary specialty of Occupational Therapist in Waverly, NY and a listed phone number of (607) 948-4047.

NPI 1922412394Waverly, NYOccupational Therapist

Profile Overview

NPI
1922412394
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
June 13, 2014
Last Updated
June 13, 2014

Practice Location

  • 332 Broad St
  • Waverly, NY 14892-1345

Phone: (607) 948-4047

Mailing Address

  • 381 Main St
  • Apt 3
  • Owego, NY 13827-1644

Specialties

  • Occupational Therapist (225X00000X)
  • Occupational Therapist (225X00000X)
Full Record
NPI
1922412394
Entity Type
Individual
Last Name
Peterson
First Name
James
Middle Name
W
Mailing Street Address
381 Main St
Mailing Address Line 2
Apt 3
Mailing City
Owego
Mailing State
NY
Mailing ZIP Code
13827-1644
Mailing Country
US
Mailing Phone
(607) 972-8519
Practice Street Address
332 Broad St
Practice City
Waverly
Practice State
NY
Practice ZIP Code
14892-1345
Practice Country
US
Practice Phone
(607) 948-4047
Enumeration Date
June 13, 2014
Last Updated
June 13, 2014
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X), Occupational Therapist (225X00000X)