Penny Peterson PTA

NPI 1285796268 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1285796268
Gender Female
Enumeration Date 12/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
713 N LEONARD ST
WEST SALEM WI, 54669-1229, US
Phone (608) 786-2274
Fax
Business Location
W7812 AMSTERDAM PRAIRIE RD
HOLMEN WI, 54636-9394, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Wisconsin
License Number 60-019
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According to our database, Penny Peterson PTA NPI is 1285796268, taxonomy code is 225200000X and license number is 60-019, license state is located at Wisconsin. Penny Peterson PTA physically located at 713 N Leonard St, West Salem WI, 54669-1229. NPI Number Penny Peterson PTA has the Individual type.

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1285796268 NPI number is provided on an as is basis without warranty of any kind. 1285796268 is maintained by the National Plan & Provider Enumeration System. The contents of Penny Peterson PTA are for informational purposes only.