Individual
CHERYL M PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1085 NIAGARA LN, PORT WASHINGTON, WI 53074-1766
(262) 268-7260
Mailing address
1085 NIAGARA LN, PORT WASHINGTON, WI 53074-1766
(262) 268-7260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9865-024
WI
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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