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Individual

MRS. LAURA MARIE PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
N112W17975 MEQUON RD, GERMANTOWN, WI 53022-2425
(262) 532-7600
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2131

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10087024
WI

Other

Enumeration date
05/09/2007
Last updated
10/27/2020
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