Individual
MRS. DARCY ALLYN ROSEN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-3635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9494-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40408600
—
WI
Enumeration date
06/27/2007
Last updated
08/27/2009
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