Kathleen Pettersen
Occupational Therapist - Gerontology
197 S Willard St
Cottonwood
, Arizona 86326-4123
Kathleen Pettersen
Occupational Therapist - Gerontology
197 S Willard St
Cottonwood
, Arizona 86326-4123
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Kathleen Pettersen
- 2100 W Quail Springs Ranch Rd
- Cottonwood, AZ
- Zip : 86326-2888
- Phone :
Second Address
- Kathleen Pettersen
- 197 S Willard St
- Cottonwood, AZ
- Zip : 86326-4123
- Phone : (928) 634-5548
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 1203 | AZ |
National Provider Identifier
| NPI | 1346665817 |
|---|---|
| Provider Name | Kathleen Pettersen |
| First Address | Cottonwood, AZ 86326-2888 |
| Second Address | Cottonwood, AZ 86326-4123 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/02/2014 |
| Last Update Date | 20/02/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.