Provider Demographics
NPI:1225240740
Name:PETERS, JOANNE (MS, OTRL)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:
Last Name:PETERS
Suffix:
Gender:F
Credentials:MS, OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 BYERS ROAD
Mailing Address - Street 2:
Mailing Address - City:MILLERSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17062
Mailing Address - Country:US
Mailing Address - Phone:717-567-0127
Mailing Address - Fax:
Practice Address - Street 1:109 BYERS ROAD
Practice Address - Street 2:
Practice Address - City:MILLERSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17062
Practice Address - Country:US
Practice Address - Phone:717-567-0127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0C007400L225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics