Individual
MRS. KATHY J PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPY ASS
Contact information
Practice address
2400 DIAGONAL RD, LA CROSSE, WI 54601-7619
(608) 784-4471
Mailing address
1314 JOHNSON ST, LA CROSSE, WI 54601-5616
(608) 784-4471
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52-019
WI
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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