Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly D Peterson, BSOTR/L

Individual provider Pediatric Occupational Therapist · NPI 1710155239

Kimberly D Peterson, BSOTR/L is a Pediatric Occupational Therapist in Waxhaw, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2008

Practice location Address checks out

3022 Chisholm Ct
Waxhaw, NC 28173-7865
Phone: (704) 843-2020
Fax: (704) 843-8384
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 6775 (NC)

Record details

NPI number1710155239
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSOTR/L
Sole proprietorYes
NPI enumeratedFebruary 19, 2008
Last updated in NPPESFebruary 19, 2008

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