NPI 1356745327

Robert Petersen

Practitioner Occupational Therapy Assistant Cedar Lake, IN

Practice location

Address: 7105 W. 138th Ave., Cedar Lake, IN 46303
Phone: (219) 916-3668
Mailing address: 7105 W 138th Ave, Cedar Lake, IN 46303-9644

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X

Other Occupational Therapy Assistant providers in Indiana →

Registry record

NPI: 1356745327
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Oct 2014
Record last updated: 20 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.