JENNIFER A PETERSEN

ROCKFORD, IL
NPI1144649435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056-010596)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: IL  057-002477)
Enumeration Date2014-04-15
Last Update Date2014-12-11
Business Address
-- JENNIFER A PETERSEN O.T.R.
324 ROXBURY RD
ROCKFORD, IL 61107-5090
Phone number: 815-381-7431
Mailing Address
-- JENNIFER A PETERSEN O.T.R.
BOX 78534
MILWAUKEE, WI 53278
Phone number: 815-381-7431