Individual
SANDRA S PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10602 N PORT WASHINGTON RD STE 101, MEQUON, WI 53092-5079
(262) 241-8030
Mailing address
W162N10554 AUBURN LN, GERMANTOWN, WI 53022-4184
(262) 253-0524
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2566-024
WI
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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