Individual
CHERRI PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 DAVIS ST, HAMMOND, WI 54015-9615
(715) 796-2218
Mailing address
1080 RUSTIC ROAD 3, GLENWOOD CITY, WI 54013-3709
(715) 977-0498
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5238-27
WI
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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