| Mr Theodore William Peterson, OTR | |
|
Idaho State University, Campus Box 8045, Pocatello, ID 83209-0001 | |
| (208) 282-4631 | |
| Not Available |
| Full Name | Mr Theodore William Peterson |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | Idaho State University, Pocatello, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558434928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 00800 (Iowa) | Secondary |
| 225X00000X | Occupational Therapist | OT-886 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Theodore William Peterson, OTR 2080 Ardella Dr, Pocatello, ID 83201-2615 Ph: (208) 904-1574 | Mr Theodore William Peterson, OTR Idaho State University, Campus Box 8045, Pocatello, ID 83209-0001 Ph: (208) 282-4631 |
Kylee Michelle Permann, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 560 Memorial Dr Ste B, Pocatello, ID 83201 Phone: 208-478-0258 Fax: 208-269-7336 | |
Mrs. Cheryl E Rodnick, OTR L, CHT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1950 E Clark St, Stf, Pocatello, ID 83201 Phone: 208-232-2915 Fax: 208-232-5553 | |
Insight Occupational Therapy, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 158 N Main St., Pocatello, ID 83204 Phone: 208-241-4906 Fax: 208-904-4473 | |
Kaitlin Sorensen, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 527 Memorial Dr, Pocatello, ID 83201 Phone: 208-478-3333 | |
Garett Warner Romriell, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 444 Hospital Way Ste 720, Pocatello, ID 83201 Phone: 208-478-0258 | |
Mrs. Taylor Carson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1448 E Center St Ste I, Pocatello, ID 83201 Phone: 208-547-7145 | |
Big Steps Speech Therapy, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 S 2nd Ave, Pocatello, ID 83201 Phone: 208-271-6389 Fax: 208-646-4415 |