Search › Missouri › 225X00000X
Samuel Peterson, OT, MOT
NPI 1376090118 · on the registry since 2016
Practice
- Address
- 678 S Commercial St
Harrisonville, MO 64701 - Phone
- (816) 380-3325
- Fax
- (816) 380-3044
- Organisation at this address
- Serc Rehabilitation Partners, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
225X00000X - Licence states on file
- CA, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-18
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