Individual
CAMILLE DIMONTE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., DPT
Contact information
Practice address
2383 STATE HIGHWAY 17, PHELPS, WI 54554-9472
(715) 545-3886
(715) 545-3412
Mailing address
1476 US HIGHWAY 2, CRYSTAL FALLS, MI 49920-9628
(906) 875-3083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4377-024
WI
225100000X
Physical Therapist
Primary
5501004807
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40203800
MEDICAID
WI
05
—
4673910
—
MI
Enumeration date
09/11/2006
Last updated
04/28/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us