Most Relevant Information
Provider Data
| NPI Number: | 1003262460 |
| Provider Name: | TAYLOR PETERSON OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 104593 |
Most Important Dates
| Enumeration Date: | 05/04/2016 |
| Last Updated: | 05/04/2016 |
Provider Practice Location
800 E 28TH ST
MINNEAPOLIS
MN
554073723
Practice Location Phone/Fax
| Phone: | 6128634000 |
| Fax: |
Provider Mailing Location
800 E 28TH ST
MINNEAPOLIS
MN
554073723
Provider Mailing Phone/Fax
| Phone: | 6128634000 |
| Fax: |