Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 0119005137 | VA |
NPI | 1003161779 |
---|---|
Provider Name | Sarah N Peters |
First Address | Arlington, VA 22204-5719 |
Second Address | Arlington, VA 22204-5719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2012 |
Last Update Date | 27/02/2019 |