Peterson, Jill
Peterson, Jill is an sole proprietor health care provider with primary practice located at 914 S Jefferson St Apt. 1, Moscow ID 83843-3163. 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. Peterson, Jill can be contacted via phone (701) 430-4013.Contact Information
Primary practice address
914 S Jefferson St Apt. 1
Moscow ID 83843-3163
Phone: (701) 430-4013
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT-1675 | Idaho |
Profile Details
| NPI number | 1134654478 |
|---|---|
| LBN Legal business name | Peterson, Jill |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2017 |
| Last updated | Apr 24th, 2017 - about 7 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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