Individual
JENNIFER LYNN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
421 CAMELOT DR, FOND DU LAC, WI 54935-8335
(920) 926-8076
(920) 923-7944
Mailing address
421 CAMELOT DR, FOND DU LAC, WI 54935-8335
(920) 923-7940
(920) 923-7944
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3161
WI
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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