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1962685024
SANDI PETERSON
HUMBOLDT, TN
NPI
1962685024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 0000000957)
Enumeration Date
2007-12-12
Last Update Date
2007-12-12
Business Address
MS. SANDI PETERSON COTA/L
2865 E MAIN ST
HUMBOLDT, TN 38343-3070
Phone number: 731-824-0057
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Mailing Address
MS. SANDI PETERSON COTA/L
2865 E MAIN ST
HUMBOLDT, TN 38343-3070
Phone number: 731-824-0057
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