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Individual

MRS. MARIA MONIQUE PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
N1499 FOREST DR, NORWAY, MI 49870-2008
(906) 563-1453
Mailing address
N1499 FOREST DR, NORWAY, MI 49870-2008
(906) 563-1453

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1541-19
WI

Other

Enumeration date
01/03/2011
Last updated
01/03/2011
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