Healthcare Provider Details

I. General information

NPI: 1881982023
Provider Name (Legal Business Name): JENNIFER HILL PETERS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 01/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7335 E PALMER-WASILLA HWY
PALMER AK
99645
US

IV. Provider business mailing address

PO BOX 321
PALMER AK
99645-0321
US

V. Phone/Fax

Practice location:
  • Phone: 907-746-7300
  • Fax: 907-746-7302
Mailing address:
  • Phone: 907-746-7300
  • Fax: 907-746-7302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: