ROBERT PETERSEN

CEDAR LAKE, IN
NPI1356745327
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2014-10-20
Last Update Date2014-10-20
Business Address
-- ROBERT PETERSEN
7105 W. 138TH AVE.
CEDAR LAKE, IN 46303
Phone number: 219-916-3668
Mailing Address
-- ROBERT PETERSEN
7105 W 138TH AVE
CEDAR LAKE, IN 46303-9644
Phone number:
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