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1528406899
REBECCA DAWN PETERSON
ROANOKE, VA
NPI
1528406899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131000470)
Enumeration Date
2013-06-10
Last Update Date
2013-06-10
Business Address
REBECCA DAWN PETERSON COTA/L
650 N JEFFERSON ST
ROANOKE, VA 24016-1427
Phone number: 540-343-3484
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Mailing Address
REBECCA DAWN PETERSON COTA/L
1485 KEFAUVER RD SE
ROANOKE, VA 24014-4527
Phone number:
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