Individual
CALI PETERLEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 LAKE DR, MELLEN, WI 54546-9750
(715) 274-5706
Mailing address
321 12TH AVE E, ASHLAND, WI 54806-2038
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2436
WI
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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