Peterson, Theodore William

Peterson, Theodore William is an individual health care provider with primary practice located at Idaho State University Campus Box 8045, Pocatello ID 83209-0001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Peterson, Theodore William can be contacted via phone (208) 282-4631.

Contact Information

Primary practice address
Idaho State University Campus Box 8045 Pocatello ID 83209-0001
Phone: (208) 282-4631
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 00800 Iowa
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT-886 Idaho

Profile Details

NPI number 1558434928
LBN Legal business name Peterson, Theodore William
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Aug 18th, 2008 - 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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