Kathy J Peterson PHYSICAL THERAPY ASS

NPI 1124229281 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1124229281
Gender Female
Enumeration Date 05/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2400 DIAGONAL RD
LA CROSSE WI, 54601-7619, US
Phone (608) 784-4471
Fax
Business Location
1314 JOHNSON ST
LA CROSSE WI, 54601-5616, US
Phone (608) 784-4471
Fax
Toxanomy
Taxonomy Code 225200000X
License State Wisconsin
License Number 52-019
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According to our database, Mrs. Kathy J Peterson PHYSICAL THERAPY ASS NPI is 1124229281, taxonomy code is 225200000X and license number is 52-019, license state is located at Wisconsin. Kathy J Peterson PHYSICAL THERAPY ASS physically located at 2400 Diagonal Rd, La Crosse WI, 54601-7619. NPI Number Kathy J Peterson PHYSICAL THERAPY ASS has the Individual type.

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1124229281 NPI number is provided on an as is basis without warranty of any kind. 1124229281 is maintained by the National Plan & Provider Enumeration System. The contents of Kathy J Peterson PHYSICAL THERAPY ASS are for informational purposes only.