Individual
MRS. CHRISTINE SUE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
W 1587 COUNTY HIGHWAY EE, SEYMOUR, WI 54165
(920) 833-7346
Mailing address
W 1587 COUNTY HIGHWAY EE, SEYMOUR, WI 54165
(920) 833-7346
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1642-027
WI
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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