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1134232952
CARRIE PETERSON
COON RAPIDS, MN
NPI
1134232952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MN 103124)
Enumeration Date
2006-08-16
Last Update Date
2023-09-12
Business Address
CARRIE PETERSON OTR
11800 XEON BLVD NW
COON RAPIDS, MN 55448-2061
Phone number: 763-489-3638
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Mailing Address
CARRIE PETERSON OTR
1939 MINNEHAHA AVE W
SAINT PAUL, MN 55104-1033
Phone number: 651-748-4338
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