Vickie Hart-Peterson, COTA/L

NPI 1316147044 · on the registry since 2007 · sole proprietor

Practice

Address: 11900 Jessica Ln
Raytown, MO 64138
Phone: (816) 358-7858
Organisation at this address: Phem, Llc
Edgewood Snf Opco Llc
Genesis Rehab Services
Edgewood Manor Opco, Llc
Edgewood Manor Operations Management Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-05-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri