Individual
SEAN G PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
700 WEST AVENUE SOUTH, LA CROSSE, WI 54601
(608) 791-9768
(608) 791-7124
Mailing address
700 WEST AVENUE SOUTH, LA CROSSE, WI 54601
(608) 791-4156
(608) 791-9898
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3157
WI
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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