Individual
MRS. ASHLEY M PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 884-4852
Mailing address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 884-4852
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1193624
WI
Other
Enumeration date
11/19/2013
Last updated
09/12/2014
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