Individual
MRS. TRISHA M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3271 NORTH ST, EAST TROY, WI 53120-1147
(262) 642-3995
Mailing address
3271 NORTH ST, EAST TROY, WI 53120-1147
(262) 642-3995
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1388-019
WI
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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