Mrs. Lorene Mae Peterson
Occupational Therapist - Neurorehabilitation
1720 University Dr S
Fargo
, North Dakota 58103-4940
Mrs. Lorene Mae Peterson
Occupational Therapist - Neurorehabilitation
1720 University Dr S
Fargo
, North Dakota 58103-4940
(218) 236-8009
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About
Features
Specialties
- Occupational Therapist - Neurorehabilitation
Languages spoken
- English
Location
First Address
- Mrs. Lorene Mae Peterson
- 4519 3rd St S
- Moorhead, MN
- Zip : 56560-6729
- Phone : (218) 236-8009
Second Address
- Mrs. Lorene Mae Peterson
- 1720 University Dr S
- Fargo, ND
- Zip : 58103-4940
- Phone : (701) 280-4070
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Is Mrs. Lorene Mae Peterson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 101750 | MN |
| Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 288 | ND |
| N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 3838 | AZ |
National Provider Identifier
| NPI | 1407970726 |
|---|---|
| Provider Name | Mrs. Lorene Mae Peterson |
| First Address | Moorhead, MN 56560-6729 |
| Second Address | Fargo, ND 58103-4940 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/03/2007 |
| Last Update Date | 08/07/2007 |
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.