Petersen, Sonia Lynn

Petersen, Sonia Lynn is an sole proprietor health care provider with primary practice located at 40 Hawthorn Ave , Kalispell MT 59901-3404. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Petersen, Sonia Lynn can be contacted via phone (406) 212-2005.

Contact Information

Primary practice address
40 Hawthorn Ave Kalispell MT 59901-3404
Phone: (406) 212-2005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 902 Montana

Profile Details

NPI number 1083818413
LBN Legal business name Petersen, Sonia Lynn
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2007
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083818413 NPPES
Montana MEDICAID 3400683

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