Individual
DAVID ARTHUR PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1317 W GRAND AVE, PORT WASHINGTON, WI 53074-2075
(262) 284-2261
Mailing address
W66N764 MADISON AVE, CEDARBURG, WI 53012-1151
(262) 376-9175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3553
WI
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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