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1710155239
KIMBERLY D PETERSON
WAXHAW, NC
NPI
1710155239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: NC 6775)
Enumeration Date
2008-02-19
Last Update Date
2008-02-19
Business Address
-- KIMBERLY D PETERSON B.S. OTR/L
3022 CHISHOLM CT
WAXHAW, NC 28173-7865
Phone number: 704-843-2020
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Mailing Address
-- KIMBERLY D PETERSON B.S. OTR/L
4100 EXBURY GARDENS DR
WAXHAW, NC 28173-6961
Phone number: 704-256-4270
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