Sandra St Peter, OTR/L

Individual provider Active NPI Occupational Therapist · Yale, MI

NPI 1881190874 · NPPES record last updated Mar 30, 2018

Key facts

NPI
1881190874
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
5201006722 (MI)
Practice address
90 Jean St
Yale, MI 48097-2932
Phone
(810) 387-3226
NPI assigned
Mar 30, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5201006722MIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201006722 MI Yes

Addresses

Primary practice location

90 Jean St
Yale, MI 48097-2932

Mailing address

90 Jean St
Yale, MI 48097-2932
Phone (810) 387-3226

Other providers in Yale, MI

All providers in Yale, MI · Occupational Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.