Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bennet Petersen, MS, OTR/L

Individual provider Occupational Therapist · NPI 1700166295

Bennet Petersen, MS, OTR/L is an Occupational Therapist in Kenosha, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2011
What do these letters mean?
MS — Master of Science
A graduate science degree.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

10222 74th St Ste 211
Kenosha, WI 53142-6810
Phone: (262) 925-5020
Fax: (262) 925-5021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3506 Jordan Ln, North Las Vegas, NV 89032-0516 — (847) 380-0896

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 6674-26 (WI)

Record details

NPI number1700166295
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , OTR/L
Sole proprietorNo
NPI enumeratedAugust 28, 2011
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020

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