Peterson, Kimberly A

Peterson, Kimberly A is an individual health care provider with primary practice located at 1340 Lake Blvd , Davis CA 95616-5673. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Peterson, Kimberly A can be contacted via phone (530) 753-5338.

Contact Information

Primary practice address
1340 Lake Blvd Davis CA 95616-5673
Phone: (530) 753-5338
Fax: (530) 753-4609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT17912 California

Profile Details

NPI number 1104336668
LBN Legal business name Peterson, Kimberly A
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2017
Last updated Aug 30th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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