LORENE MAE PETERSON

FARGO, ND
NPI1407970726
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XN1300X Occupational Therapist, Neurorehabilitation
(Licence: ND  288)
Additional Taxonomies225XN1300X Occupational Therapist, Neurorehabilitation
(Licence: MN  101750)
225XN1300X Occupational Therapist, Neurorehabilitation
(Licence: AZ  3838)
Enumeration Date2007-03-19
Last Update Date2007-07-08
Business Address
Mrs. LORENE MAE PETERSON OTR
1720 UNIVERSITY DR S
FARGO, ND 58103-4940
Phone number: 701-280-4070
Mailing Address
Mrs. LORENE MAE PETERSON OTR
4519 3RD ST S
MOORHEAD, MN 56560-6729
Phone number: 218-236-8009